ICM Test 3: HTN

Card Set Information

Author:
BrookeNH10
ID:
189941
Filename:
ICM Test 3: HTN
Updated:
2012-12-17 14:06:23
Tags:
HTN
Folders:

Description:
HTN
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user BrookeNH10 on FreezingBlue Flashcards. What would you like to do?


  1. What perecentage of people w/ stroke, MI, CHR have antecedent hypertension
    > 70%
  2. 73.6 million in US have HTN.  What percentage of these are aware? treated? controlled?
    • 79%
    • 61%
    • 45%
  3. What percentage of deaths are related to HTN?
    1/5
  4. Normal BP
    <120/80
  5. Prehypertension
    120-39/ 80-89
  6. Stage 1 HTN
    140-159/90-99
  7. Stage II HTN
    >160/>100
  8. Target BP for diabetes
    <130/80
  9. Target BP for Left Ventricular Dysfunction
    <120/80
  10. Reduction in BP by how many points:
    Wt. loss
    DASH Diet
    Sodium Restriction
    Alcohol Reduction
    • Wt. loss: 5-20
    • DASH Diet: 8-14
    • Sodium Restriction: 2-8
    • Alcohol Reduction: 2-4
  11. DASH Diet
    Fruits and vegetables, low fat dairy, reduce cholesterol, rich in potassium and calcium
  12. USDA recommends less than  ____mg sodium/day.   For at risk population less than ____ mg/day
    • 2300
    • 1500
  13. Stage 1 HTN tx:
    • Thiazides
    • Consider adding ACEI, ARB, BB, CCB, or combo
  14. Stage 2 HTN tx
    Two-drug combo; thiazide and ACEI (or ARB, BB, CCB)
  15. Resistant hypertention
    Hypokalemia
    Alkalosis
    Suppressed PRA
    Excessive aldosterone production
    Primary Hyperaldosteronism
  16. Plasma aldo: PRA

    >75
    Aldosterone producing adenoma
  17. Plasma aldo: PRA

    20-75
    Bilateral zona glomerulosa hyperplasia
  18. Plasma aldo:  PRA

    <20 essential hypertension
    essential hypertension
  19. Caucasians > AA
    Unilateral of bilateral renal ischemia
    Causes:  Atherosclerosis, fibromuscular dysplasia, or uncommon (external compression, thrombosis, vasculitis)
    RAAS dependent renal perfusion
    Renal artery stenosis
  20. Fibromuscuar dysplasia
    • Young caucasian women
    • Most common medially (85%)
  21. Atherosclerosis
    • Older men
    • Tobacco smoke exposure
    • Associations:  Sever HTN retinopathy, sys-dias bruit, generalized atherosclerosis, recurrent pulmonary edema
  22. Worsening of renal failure after ACEI or ARB
    Atherosclerosis
  23. What is the strongest risk factor fo systolic or diastolic dysfunction?
    HTN
  24. Impaired LV relaxation
    Diastolic dysfunction
  25. Signs and symptoms of classic sys heart failure w/ or w/o sys LV dysfunction
    Diastolic dysfunction
  26. Symptoms of Diastolic dysfunction
    • 1)  DOE, reduced exercise tolerance
    • 2)  Resting dypsnea and orthopnea later
    • 3)  PND (Paroxysmal Nocturnal Dypsnea) late
    • 4)  Pulmonary edema is common
    • 5) Exacerbated by anemia, fever, sepsis, and tachycardia
  27. Diastolic Dysfunction tx
    • CCB, BB
    • Diuresis,Aggressive BP control
    • Evaluation for CAD

What would you like to do?

Home > Flashcards > Print Preview