Treatment for secondary hypertension involves treating the underlying medical condition with medications or surgery. Once the underlying condition is treated, your blood pressure might decrease or return to normal.
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What questions should I ask my doctor about secondary hypertension?
For secondary hypertension, some basic questions to ask your doctor include: What do you think is causing my high blood pressure? What kinds of tests do I need? Do these tests require any special preparation?
Which drug is prescribed to a newly diagnosed patient with hypertension?
Select all that apply. A newly diagnosed patient with hypertension is prescribed Diuril, a thiazide diuretic. What patient education should the nurse provide to this patient?
Who can diagnose secondary causes of hypertension?
The patient's primary care doctor and/or nurse practitioner may be the main person involved in diagnosing a secondary cause of hypertension. But an interprofessional team of specialists consisting of a nephrologist, cardiologist, endocrinologist, rheumatologist, and surgeons can help with diagnosing and managing the patient.
What is the nurse’s role in the treatment of hypertension?
The nurse is planning the care of a patient who has been diagnosed with hypertension, but who otherwise enjoys good health. When assessing the response to an antihypertensive drug regimen, what blood pressure would be the goal of treatment?
How is secondary hypertension treated?
Treatment for secondary hypertension involves treating the underlying medical condition with medications or surgery. Once the underlying condition is treated, your blood pressure might decrease or return to normal.
What does it mean when a patient is diagnosed with secondary hypertension?
Secondary high blood pressure (secondary hypertension) is high blood pressure that's caused by another medical condition. Secondary hypertension can be caused by conditions that affect your kidneys, arteries, heart or endocrine system. Secondary hypertension can also occur during pregnancy.
Which of the following patients should be treated for hypertension?
You should aim for a blood pressure treatment goal of less than 130/80 mm Hg if: You're a healthy adult age 65 or older. You're a healthy adult younger than age 65 with a 10% or higher risk of developing cardiovascular disease in the next 10 years. You have chronic kidney disease, diabetes or coronary artery disease.
When should you work secondary hypertension?
In the absence of clinical signs to suggest possible secondary hypertension in adults, indications for further evaluation include resistant hypertension and early, late, or rapid onset of high blood pressure. All preadolescent children with hypertension should be evaluated for possible secondary causes.
What is secondary prevention of hypertension?
Eating a healthy diet that is low in sodium. Exercising regularly. Avoiding smoking. Maintaining a healthy body weight.
What class of medication can cause secondary hypertension?
Select Drugs That May Elevate Blood PressureDrug classCommon examplesSex hormonesEstrogen and progesterone in oral contraceptives; androgensSteroidMethylprednisolone, prednisoneSympathomimeticDecongestants, diet pills7 more rows•Oct 1, 2017
What is the first line treatment for hypertension?
There are three main classes of medication that are usually in the first line of treatment for hypertension: 1. Calcium Channel Blockers (CCB) 2. Angiotensin Converting Enzyme inhibitors (ACE inhibitors or ACE-I) and Angiotensin Receptor Blockers (ARBs) 3. Diuretics.
What is the first step in the treatment of hypertension?
Diuretics are the first step in the treatment of most patients with hypertension and the new clinical trials should focus on drugs to be added to them as the second step in the management of hypertension.
What is the first drug of choice for hypertension?
The new approach recommended by the British Hypertension Society is that first-line therapy in patients over 55 should be a calcium channel blocker or a thiazide-type diuretic. For patients who are younger than 55, ACE inhibitors are the first-line drug of choice.
Who should be evaluated for secondary hypertension?
Young adults (<30 years) without a family history or other risk factors for hypertension should undergo screening for secondary forms. In elderly adults with known atherosclerosis, the presence of severe hypertension or an acute increase of BP is suggestive for a secondary form [i.e. renal artery stenosis (RAS)].
What is the most common cause of secondary hypertension in adults?
Common causes of secondary hypertension are obstructive sleep apnea, renovascular disease, primary aldosteronism, renal parenchymal disease, and drugs. Some less-common causes include pheochromocytoma, Cushing syndrome, thyroid disease, hyperparathyroidism, and aortic coarctation.
How can hypertension be prevented?
Prevent High Blood PressureEat a Healthy Diet. Choose healthy meal and snack options to help you avoid high blood pressure and its complications. ... Keep Yourself at a Healthy Weight. ... Be Physically Active. ... Do Not Smoke. ... Limit How Much Alcohol You Drink. ... Get Enough Sleep. ... References.
What is secondary hypertension?
Secondary hypertension happens when you have high blood pressure that is caused by a known disease or condition. High blood pressure, also called hypertension, is a common condition that is characterized by having a higher amount of pressure in your blood vessels than normal. Blood pressure is typically measured with an inflatable cuff ...
What is the name of the condition where the body makes too much of the salt-retaining hormone aldosterone
Conn’s syndrome or primary aldosteronism (a condition where the body makes too much of the salt-retaining hormone aldosterone) Cushing’s syndrome (a condition where there is too much of the hormone cortisol, a regulator of carbohydrate metabolism and blood pressure)
What is the best way to check blood pressure?
An ultrasound of the kidneys to check their size and blood flow. A contrast tomography (CT) scan or magnetic resonance imaging (MRI) to check the adrenal glands, or an arteriogram to track blood flow to the kidneys. Your blood pressure will also be monitored to see if it dips at different points in the day or night.
What causes hypertension in the kidneys?
There are many different conditions or diseases that can cause secondary hypertension, including: Kidney disease: An injury to the kidney or arteries that are too narrow can lead to poor blood supply to the organ. This can trigger higher production of a hormone called renin.
How is blood pressure measured?
Blood pressure is typically measured with an inflatable cuff that is placed around your arm . When taking your blood pressure, your healthcare provider is looking for two measurements: The two measurements are listed together, systolic on top of diastolic. A normal blood pressure measurement is less than 120/80.
Is secondary hypertension a positive or negative condition?
Secondary hypertension has a positive outlook with treatment. Early detection and treatment can help minimize the possibility of serious damage due to abnormal blood vessel shape or tumors. Hypertension (high blood pressure) can become more common as patients age.
Can hypertension be controlled with one or two medications?
Additionally, there may be difficulty controlling high blood pressure by using just one or two medications.
What is the HTN stage?
The 2017 American College of Cardiology (ACC) and American Heart Association (AHA) definition of HTN stages is: Normal blood pressure (BP): systolic BP is less than 120, and diastolic BP is less than 80. Elevated BP: systolic BP 120 to 130 ...
What is the target BP for kidney disease?
In patients with chronic kidney disease, the target BP is 130/80. For patients with type 2 diabetes mellitus (T2DM), it is recommended to start on antihypertensive medications if BP is more than 130/80 with a goal of BP lower than 130/80.
Which is better, chlorthalidone or doxazosin mesylate?
Chlorthalidone, when compared with doxazosin mesylate, was better in preventing cardiovascular disease, when compared with lisinopril was found to be better in preventing cardiovascular disease, including strokes and heart failure incidence, and when compared with amlodipine was better in preventing heart failure.
Does hydrochlorothiazide lower blood pressure?
Switching to chlorthalidone from hydrochlorothiazide decreases systolic blood pressure by 7 to 8 mm Hg.
Is chlorthalidone better than hydrochlorothiazide?
They are better at decreasing the risk of cardiovascular disease comparing to hydrochlorothiazide. [4][5] Chlorthalidone is the drug of choice to start as monotherapy for hypertension. Studies show it to be the best diuretic to control blood pressure and to prevent mortality and morbidity.
Is spironolactone a good antihypertensive?
Spironolactone is superior to doxazosin and bisoprolol in lowering blood pressure when added to first-line antihypertensive agents in treating resistant hypertension. [28] Hydralazine can be added for the treatment of resistant hypertension, either alone or in combination with nitrates, in case of heart failure.
Can you take two antihypertensive medications at once?
A combination of two antihypertensive medications should be a therapeutic option for patients with stage 2 hypertension .[6] . One study showed a reduction in blood pressure when drugs from two different classes are combined is approximately five times greater than when the dose of one drug dose doubles. [18]