What is the nurse doing to assess a patient with hypertension?
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What does a client with newly diagnosed hypertension ask the client?
Benefits of treating chronic hypertension. --- study 1. Meta analysis of nearly 400,000 patients from several large multi-center studies indicates that. a reduction of systolic pressures of 10-12 mmHg and a 5-6 mmHg reduction in diastolic pressure. reduced the incidence of stroke by 38%. the incidence of myocardial infarction by 20%.
Which is a first line recommendation in the treatment of hypertension?
Hypertension is blood pressure over 140 over 90 on at least 2 or more occasions. What is the definition of prehypertension? Prehypertension is defined as a blood pressure between 120 over 80 and 140 over 90. What are some of the risk factors for hypertension? Risk factors for hypertension include old age, smoking, being a male, being African ...
What is the main purpose of hypertension treatment?
a) Maintaining the BP at a significantly higher than normal level to prevent orthostatic hypotension. b) Reduction of the BP to 160/100 mm Hg within the half hour of treatment. c) Reduction of the mean BP by up to 50% within the first hour of treatment. d) Avoid lowering the blood pressure (BP) too quickly.
What is essential hypertension?
Essential hypertension is hypertension with no underlying cause. Most cases of hypertension are essential hypertension.
What are the risk factors for hypertension?
Risk factors for hypertension include old age, smoking, being a male, being African American, being obese, having a family history of hypertension, having a diet that is high in sodium, drinking, and constantly being stressed out
What is a hypertensive urgency?
A hypertensive urgency is blood pressure greater than 180 over 120, and a hypertensive emergency is a blood pressure greather than 180 over 120 with signs of end organ damage
What is the blood pressure over 140 over 90?
Hypertension is blood pressure over 140 over 90 on at least 2 or more occasions
What happens if you have untreated hypertension?
Untreated hypertension can result in diastolic heart failure, coronary artery disease, and ventricular hypertrophy
What are the risk factors for cardiovascular disease related to hypertension that the client cannot change?
Age, family history, and impaired renal function are risk factors for cardiovascular disease related to hypertension that the client cannot change. Obesity, inactivity, and disylipidemia are risk factors that the client can improve through diet, exercise, and other healthy lifestyle changes.
What is the best way to manage hypertensive medications?
The medications of choice in hypertensive emergencies are best managed through the continuous IV infusion of a short-acting titratable antihypertensive agent. The nurse avoids the sublingual and IM routes as their absorption and dynamics are unpredictable. The oral route would not have as quick an onset as a continuous IV infusion.
What is the definition of hypertension?
Hypertension is defined as "sustained elevations in systolic or diastolic blood pressures that exceed prehypertension levels." What are some of the consequences of hypertension that make it such a health menace in the United States?
Why is hypertension considered a risk?
Healthcare professionals have revised guidelines for identifying hypertension because hypertension places people at risk for heart disease, heart failure, stroke, and kidney disease.
What is the normal blood pressure for stage 1 hypertension?
According to the categories of blood pressure levels established by the JNC VI, stage 1 hypertension is demonstrated by a systolic pressure of 140 to 159, or a diastolic pressure of 90 to 99. Pressure of 130 systolic and 80 diastolic falls within the normal range for an adult. Pressure of 110 systolic and 60 diastolic falls within the normal range for an adult. Pressure of 120 systolic and 70 diastolic falls within the normal range for an adult.
How long should a patient rest before a BP reading?
The patient should rest quietly for 5 minutes before the reading is taken. The cuff bladder should encircle at least 80% of the limb being measured and have a width of at least 40% of limb circumference. Using a cuff that is too large results in a lower BP and a cuff that is too small will give a higher BP measurement.
Which ethnic group is at the highest risk for hypertension?
The African American population is at the highest risk for development of hypertension. The other ethnic backgrounds have a lower risk.
What is the target blood pressure for a 60 year old?
Explanation: The patient in the case example has a blood pressure of 148/90 mm Hg. A previous blood pressure reading was 154/92 mm Hg. According to the JNC 8 guidelines a target blood pressure of 150/90 mm Hg is recommended for persons 60 and older, without diabetes or chronic kidney disease (James, Oparil, Carter et al 2014). If he is 60 years of age or older he should still be followed so that he can be referred for drug treatment when his blood pressure exceeds 150/90 mm Hg. In the meantime continued assessment and coaching about lifestyle changes is recommended.
What medications are considered first line therapy for hypertension?
Explanation: The JNC 8 guidelines expanded the number of medications that can be considered as first line therapy to include calcium channel blockers, ACE inhibitors and ARBs.
When a patient does not meet the target, treatment needs modification by increasing dosages, adding another medication or both until
When a patient does not meet the target, treatment needs modification by increasing dosages, adding another medication or both until the goal is achieved (Townsend & Anderson 2015, Mahajan 2014). The interval between provider visits can be increased once the goal is achieved. Treatment adherence can be compromised by the patients’ experience of drug side effects, lack of motivation and insufficient knowledge. Nurse led clinics to coach and monitor adherence is a keystone in managing inmate/patients who are being treated for hypertension (Voermans 2013, Arries & Maposa 2013).
When are men more likely to have high blood pressure?
Men are more likely than women to have high blood pressure until about age 45. The rates of disease are similar between men and women from age 45 to 64 but after that women are at much higher risk (American Heart Association).
Is Lisinopril an ACE inhibitor?
Explanation: Lisinopril is an ACE inhibitor. ACE inhibitors frequently cause an elevation in creatinine which can give rise to hyperkalemia. Both of these should monitored and dosage adjusted or drug regime changed if levels rise (Townsend & Anderson 2015). Nurses can counsel patients about what side effects to expect, how to care of various side effects and what conditions should cause the patient to request health care attention. Nurses should always consider the medications a patient is taking during a sick call encounter. The problem being experienced may be a side effect that can be addressed so that adherence with prescribed treatment continues or it may be an adverse effect that needs prompt medical attention (Smith 2013).