Pathophysiology
mechanism of action is to block the conversion of angiotensin 1 to angiotensin 2,(a potent vasoconstrictor) promotes fluid and sodium loss, and decrease peripheral vascular resistance.
What is ACE inhibitors?
These 4 lifestyle modifications for a client at risk for hypertension can be made to reduce the likelihood of becoming hypertensive?
What is cease cigarette smoking, control weight, exercise regularly, and maintain low fat low cholesterol diet?
When a client is taking furosemide this is the type of food the client should be encouraged to eat.
What is potassium rich foods?
The nurse finds kidney disease in the client history and understands this is a risk factor of this disorder relating to increased BP readings.
What is secondary hypertension?
This medication works by promoting sodium and water excretion, thus reduce circulating blood volume.
What is furosemide?
Bradycardia is a heart rate below___bpm, and tachycardia is defined as a heart rate above________bpm.
What is 60 bpm, and 100 bpm ?
Reinforce client teaching about this side effect of an ACE inhibitor which will need to be reported to the provider, and the medication should be discontinued.
What is angioedema or a dry persistent cough if patient can better tolerate a different medication?
assessment data includes blurred vision, dizziness, disoriented, and a b/p 240/130
What is hypertensive crisis?
The nurse is administering the prescribed labetalol to a client today for hypertension, and upon assessment notes apical heart rate of 49. The nurse understands she should?
What is hold the medication and contact the provider?
________________refers to the loss of elasticity or hardening of the arteries that accompanies the aging process.
What is arteriosclerosis?
client is on spironolactone (Aldactone) 25mg/day and likes to eat a lot of bananas, what is the best intervention?
What is instruct them to avoid these types of foods due to the increase in hyperkalemia, spironolactone is a potassium sparing medication.
hypertension can have few or no symptoms, but the nurse will assess for these symptoms in a client.
What is headaches in the morning, dizziness, fainting, retinal changes, visual disturbances, and nocturia.
Will alter the movement of calcium ions through the cell membrane, causing vasodilation, and lowering of the blood pressure.
What is calcium channel blockers?
Sustained elevated blood pressure with no known cause and is about 95% of cases.
What is essential/Primary hypertension?
The nurse has to give metoprolol (Lopressor) what nursing intervention should be done prior to giving this medication?
What is obtain a blood pressure and pulse?
The client has a history of smoking, obesity, and physical inactivity, the nurse understands these to be risk factors for this.
What is a risk factor for essential hypertension?
The nursing considerations for furosemide are ____, ____ & ____.
What is weight client daily, measure intake and output, and monitor serum potassium level?
The nurse knows prehypertension is a systolic blood pressure of _____ and _____.
What is 120-129mmHg?
the client has a BP of 180/120 and is not symptomatic, what should the nurse do immediately?
What is double check the reading and report to the reading to the provider?
a diet high in ____ and ____is a modifiable risk factor for hypertension.
What is salt and fat?