Jamaican me think, BP
Name a modifiable risk factor influencing blood pressure.
Diet, smoking, stress, obesity, lack of exercise
Name an Angiotensin II Receptor Blocker
Losartan, Valsartan, Irbesartan
I am swelling caused by excess fluid
I can be trapped virtually anywhere
What am I?
Edema
Name 2 important diagnostic labs providers look at when diagnosing hypertension.
BUN/Cr, Cholesterol Panel, fasting glucose, BNP, 24-hour urine, GFR, protein
Name 3 nursing interventions/assessments you would perform/monitor for a patient with hypertension.
VS, Neuro assessment (LOC, headache), cardiovascular, edema, lung sounds (pulmonary edema), urine, abdominal sounds, BM, endocrine (thyroid), skin temp/color
What number is considered an elevated BP according to the AHA?
120-129/less than 80
What are two priority nursing interventions prior to giving a Beta blocker?
Obtaining BP and apical pulse
I am a painful sensation inside your head
I could be sharp, dull, or achy
What am I?
Headache
What lab value is considered hyperkalemia?
5.1 or above
What diet is recommended for patients with hypertension?
What is secondary hypertension?
Hypertension that is diagnosed when there is hypertension with an identifiable cause.
What are three side effects of Calcium channel blockers?
constipation, dizziness, SOB, edema, irregular heartbeat, cramps, joint stiffness, sexual dysfunction
I can be ischemic
I can be hemorrhagic
What am I?
CVA;stroke
What three labs do we monitor for patients on a thiazide diuretic?
K+, sodium, magnesium, calcium, uric acid
What should you educate a patient who is on a thiazide diuretic on?
Increase K+ foods, SE: lightheadedness, dry mouth, muscle aches, fatigue, weakness, tachycardia. Monitor electrolytes. Orthostasis, worsened with ETOH. Contraindicated with gout, hyponatremia, sulfa allergy, bad kidneys
What is rebound hypertension?
BP that is normally controlled with medication but becomes abnormally high once the BP medication is stopped abruptly
What are two side effects to watch out for with ACE inhibitors such as lisinopril?
Angioedema, cough, high potassium
I am a serious condition in which a tear occurs in the inner layer of the body's main artery
Dissecting aortic aneurysm
True or False; we want to monitor LFT's for patients on centrally acting Alpha 2 agonists.
True
True or False; IVP furosemide can cause hearing loss if pushed too quickly
True
How does BNP affect blood pressure?
Regulates circulation by dilating blood vessels. Causes kidneys to excrete salt and water, promote urine excretion
Name one nondihydropyradine CCB
Verapamil and Diltiazem
I have transient migratory neurologic symptoms that are associated with a malignant hypertensive state in a hypertensive emergency. What am I?
Hypertensive Encephalopathy
Why would a provider order an ECHO for a patient with hypertension?
May demonstrate enlarged heart, strain patterns, conduction disturbances
What is considered a hypertensive emergency?
Severe BP elevation >180 over >120 with new or worsening target organ damage as evidence by clinical exam or labs/diagnostic findings