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Hypertension Presentation 2
Hypertension Presentation 2
&
Hypertensive
Heart Disease
Cherrisa Pham
Armando Chavez
Paula Philpott
Contents
Definition
Types of Hypertension
Etiology
Signs/Symptoms
Indications/Contraindications
Management
Treatment
Hypertension
Hypertension or high blood pressure is an abnormal elevation
of arterial blood pressure. Also, known as the “Silent Killer”
for its lack of symptoms.
*heart failure
*thickening of the heart muscle
*coronary artery disease
* and other conditions
Emergencies
Patients with hypertension are at risk of cardiovascular disease, therefore,
angina, stroke, arrhythmia, and MI should all be anticipated as possible
occurrence.
White Coat Hypertension
a persistently elevated office blood pressure in the presence of a
normal blood pressure outside of the office
Treatments
There is no cure for hypertension but goals, medications, and lifestyle changes can be
addressed.
Goals:
Primary hypertension: Achieve and maintain diastolic pressure level below 90mm
Hg.
Secondary hypertension: Medical treatment of underlying systemic disease is
needed.
Lifestyle changes:
Weight and exercise
Tobacco Cessation
ACE inhibitors
Xerostomia
Bleeding
Stress-Reduction Protocols
Supine chair positioning have patient sit upright for at least 2 min.
before standing to avoid orthostatic hypotension.
a. 160>108
b. 123>99
c. 133>88
d. 100>72
e. None of the above
2. Which medication is not used to treat hypertension?
a. Metoprolol
b. Lisinopril
c. Propranolol
d. Cyclosporine
e. all of the above
3. What is the best patient chair positioning?
a. Supine
b. Semi-Supine
c. Upright
d. Trendelenburg
e. A and B
4. Which are not adverse effects of antihypertensive drugs?
a. State Board
b. White Coat Hypertension
c. Mrs. Harrell’s Raised Eyebrows
d. Pink Sheets
e. All of the above
References
Gehrig-Nield, J.S., & Willmann, D. E. (2013). Patient Assessment
Turtorials. (3rd ed.) Baltimore, MD: Wolters Kluwer.
Medlineplus.gov