Nurs 620 Maryville Exam 2 | STUDY GUIDE
Terms in this set (156)
1. age & sex- women older than 55 & men
older than 45 2.Obesity
3.Excessive dietary intake
of salt 4.cigarette
Risk factors for hypertension smoking
5. chronic alcohol consumption
6. Family history of high blood pressure and/or cardiovascular disease
7. African
American race
8.Stress
9.Sedentary lifestyle
Healthy patients over 60 years of age is okay if it is below 150/90
Healthy patients less than 60 years of age the blood pressure is
Blood pressure goals for JNC8
okay if less than 140/90
Patients with dx of DM or CKD regardless of age, goal BP is less than 140/90
Weight reduction (BMI 18.5-24.9)
DASH diet
less than 2.4g a day of sodium
lifestyle modifications for
Increase Pysical activity to 30min most days
of the week Stop smoking
Alcohol less than 2 drinks a day
, -general
population:
thiazide
CC
B
AC
EI
AR
B
JNC8 preferred agents:
-black: (without
CKD) CCB or
thiazide
-DM:
thiazi
de
CCB
ACEI
ARB
-CKD:
ACE
ARB
Which medications for HTN should ACE and ARBS
not be used together
HTN therapy for patients over CCB
75years old with impaired kidney Thiazides
function
Normal BP: less than 120 Systolic, diastolic
less than 80 Elevated: 120-129 systolic, less
Classification of HTN per AHA than 80 diastolic
Stage 1 HTN: 130-139/80-
89 Stage 2 HTN:
140+/90+
Hypertensive crisis: 180+/120+
If goal not met for HTN in a month Increase the intital dose of drug or add a second agent, if goal not
of treatment then what? achieved with 2 agents consider a 3rd agent.
When HTN treatment is initiated or 2-4 weeks, then once goal has achieved every 3-6 months.
dose changed when should patient
follow up
History- any
symptoms?
Physical
Diagnostic workup for HTN examination
What are their risk factors? - family history, smoking, drinking, sedentary lifestyle.
, Labs: BMP, CBC, UA, CMP, TSH, Lipid profile, ECG
need to know kidney function, electrolytes, are they spilling protein in their
urine.
Cushings- need a 24 hour
urine Coarctation of the
Work up for secondary causes of aorta- CXR
HTN Pheochromocytoma- 24
hour urine Primary
hyperaldosteronism
Renovascular hypertension- Renal arterogram, ultrasound of kidneys
failure to reach goal BP in patients who are taking full doses of an
appropriate three- drug therapy regimen that includes a diuretic
Resistant Hypertension
needs referral to cardiologist
Terms in this set (156)
1. age & sex- women older than 55 & men
older than 45 2.Obesity
3.Excessive dietary intake
of salt 4.cigarette
Risk factors for hypertension smoking
5. chronic alcohol consumption
6. Family history of high blood pressure and/or cardiovascular disease
7. African
American race
8.Stress
9.Sedentary lifestyle
Healthy patients over 60 years of age is okay if it is below 150/90
Healthy patients less than 60 years of age the blood pressure is
Blood pressure goals for JNC8
okay if less than 140/90
Patients with dx of DM or CKD regardless of age, goal BP is less than 140/90
Weight reduction (BMI 18.5-24.9)
DASH diet
less than 2.4g a day of sodium
lifestyle modifications for
Increase Pysical activity to 30min most days
of the week Stop smoking
Alcohol less than 2 drinks a day
, -general
population:
thiazide
CC
B
AC
EI
AR
B
JNC8 preferred agents:
-black: (without
CKD) CCB or
thiazide
-DM:
thiazi
de
CCB
ACEI
ARB
-CKD:
ACE
ARB
Which medications for HTN should ACE and ARBS
not be used together
HTN therapy for patients over CCB
75years old with impaired kidney Thiazides
function
Normal BP: less than 120 Systolic, diastolic
less than 80 Elevated: 120-129 systolic, less
Classification of HTN per AHA than 80 diastolic
Stage 1 HTN: 130-139/80-
89 Stage 2 HTN:
140+/90+
Hypertensive crisis: 180+/120+
If goal not met for HTN in a month Increase the intital dose of drug or add a second agent, if goal not
of treatment then what? achieved with 2 agents consider a 3rd agent.
When HTN treatment is initiated or 2-4 weeks, then once goal has achieved every 3-6 months.
dose changed when should patient
follow up
History- any
symptoms?
Physical
Diagnostic workup for HTN examination
What are their risk factors? - family history, smoking, drinking, sedentary lifestyle.
, Labs: BMP, CBC, UA, CMP, TSH, Lipid profile, ECG
need to know kidney function, electrolytes, are they spilling protein in their
urine.
Cushings- need a 24 hour
urine Coarctation of the
Work up for secondary causes of aorta- CXR
HTN Pheochromocytoma- 24
hour urine Primary
hyperaldosteronism
Renovascular hypertension- Renal arterogram, ultrasound of kidneys
failure to reach goal BP in patients who are taking full doses of an
appropriate three- drug therapy regimen that includes a diuretic
Resistant Hypertension
needs referral to cardiologist
