About HTN
Hypertension is defined as _.
What is a BP of 140/90 or >?
This medication lowers BP by reducing the resorption of Na and H2O by the kidneys; thus lowering the circulating fluid volume.
What are diuretics?
This medication makes you pee, sometimes alot! It's also known as "the water pill."
What is how do diuretics work?
Close monitoring of electrolytes when taking this classification of drugs.
What are diuretic considerations?
An elevation in BP without an identified cause.
What is primary hypertension?
5 non-pharmacologic interventions to lower BP.
What is limiting alcohol usage, restricting sodium consumption, reducing saturated fat and cholesterol; increasing fresh fruit, and vegetable intake, increasing aerobic physical activity, discontinuing tobacco use, reducing stress, & maintaining optimum weight?
__________ is blood pressure higher than the normal 120/80 or lower but not yet in the high blood pressure range.
What is prehypertension?
This medication combines with beta-adrenergic receptors in the heart, arteries, and arterioles to reduce heart rate and cardiac output.
What are beta blockers?
The mechanism of action for beta blockers.
Decrease HR, decrease the force of heart contraction, lowers BP, reduces myocardial oxygen demand, and slow electrical conduction therefore reducing the risk of arrhythmias.
Monitor apical HR & BP prior to administration.
What are beta blocker considerations?
This type of hypertension can be caused by sleep apnea.
What is secondary hypertension?
This is the force of blood flow from your heart through the rest of your body.
What is blood pressure?
What is Stage 2 HTN defined as?
What is SBP>160mmHg or DBP>100mmHg?
This medication lowers BP by blocking the conversion of angiotensin I to angiotensin II, prevents vasoconstriction and reduces aldosterone production and fluid retention.
What is Angiotensin Converting Enzyme Inhibitors (ACEIs)?
This drug prevents your body from making a hormone that tells blood vessels to tighten. Since they don't tighten, the vessels tend to stay more open.
What is how do ACEIs (Angiotensin-converting-enzyme inhibitors) work?
Monitor for cough, hypotension, hyperkalemia, and in rare instances, angioedema.
What are ACEI considerations?
You just administered Lisinopril to a newly admitted patient. The patient complains of shortness of breath 15 minutes later. The registered nurse's next action is that of a prudent nurse.
What is assessing vital signs?
This can be a contraindication of nonselective beta blockers.
What is asthma?
_____________ is defined as a systolic BP of 180 or > and a systolic of 120 or >.
What is Hypertensive crisis?
This medication lowers BP by blocking the binding of angiotensin II which prevents vasoconstriction.
What are Angiotensin 2 receptor blockers (ARBs)?
This medication stops the nerve signals before they can tell your blood vessels to tighten.
What is how do ARBs (Angiotensin receptor blockers) work?
Monitor for cough, fatigue, hyperkalemia, and in rare instances, angioedema.
What are ARB considerations?
Please don't give the patient any grapefruit juice, it may cause an increased concentration of this drug.
What is a Calcium-Channel Blocker?
MONA
Morphine, oxygen, nitrates, and aspirin?
Those with elevated BPs >180mmHg/110mmHg should...
What is seek medical treatment immediately!
This medication reduces peripheral vascular resistance by systematic vasodilation.
What are Calcium Channel Blockers (CCBs)?
This medication keeps the blood vessels from narrowing and/or slows down the heart rate or heart-squeezing power.
What is how do CCBs (Calcium channel blockers) work?
Monitor for peripheral edema and increased risk for GI bleed.
What are Calcium channel blockers (CCB) considerations?
Often given in patients complaining of chest pain. It is a vasodilator.
What is nitroglycerin?
Some common side effects of antihypertensive drugs (3).
What is orthostatic hypertension, loss of libido, ED, dry mouth, and frequent voiding (diuretics)?