Disorder Of Blood Pressure Regulation

Front 1

essential hypertension

Back 1

characterized by a choronic elevation in blood pressure that occurs without evidence of other disease
- normal blood pressure
--- systolic pressure <120
--- diastolic pressure <80
- hypertension
. systolic pressure >120
. diastolic pressure > 90

Front 2

risk factors

Back 2

. cause of essential hypertension are largely unknown
. consitutional risk factors
- family history - age - race- insulin resistance

Front 3

table 23

Back 3

normal <120 - <80 recheck 2 years
prehypertensive 120-139 80-89 1 year
stage 1 hypertension 140-159 90-99 2 month
stage 2 hypertension >160 >100 1 month

Front 4

KNOW! lifestyle risk factors

Back 4

high salt intake
-obesity
-excess alcohol consumption

Front 5

Target organ damage

Back 5

kideny: primary damaged: First to be damaged
- heart: increase work load, left
-ventrical hypertrophy
-brain: stroke
retina - peripheral vascular

Front 6

Treatment lifestyle

Back 6

weight reduction
-regular physical excercise
-DASH eating plan
-Moderation of alcohol
# Pharmacologic treatment based on:
. the stage and severity of the hypertension
-the presence of target organ disease
- the existence of other disease conditions and risk factors

Front 7

Antihypertensive
DIURETICS

Back 7

meds, first choice, decrease vascular volume, reduces peripheral vascular resistance

Front 8

Antihypertensive
B- adrenergic blockers

Back 8

blood pressure+ heart rate: decreases heart rate and cardiac output, and decreases renin release

Front 9

Antihypertensive
ACE inhibitors

Back 9

inhibits the conversion of angiotensin I to angiotensin II
> decreasing angiotensin II levels and reducing its effect on vasoconstriction

Front 10

Antihypertensive
calcium channel receptor

Back 10

reduces vascular smooth muscle tone in the venous and arterial systems

Front 11

Secondary hypertension

Back 11

Renal: kidney disease most cause of S. hypertension

Front 12

S. Adrenocortical hormones

Back 12

excessive

Front 13

S. Pheochromocytoma

Back 13

tumor sympathetic nerve that stain chromium salts

Front 14

S. Coarctation of the aorta

Back 14

narrowing of aorta

Front 15

S. oral contraceptive drugs

Back 15

control birth

Front 16

Malignant hypertension

Back 16

an accelerated and potentially fatal form of HTN
-usually a disease of younger persons
----young african american men
----women with toxemia of pregnancy
---persons with renal and collegan disease

Front 17

Malignant hypertension

Back 17

charcterized by sudden, marked elevation in blood pressure diastolic values

Front 18

Malignant hypertension

Back 18

complicated by evidence of acute or rapidly progressive life threatning organ dysfunction

Front 19

Malignant hypertension

Back 19

Papilledema
complain of headach
restlessness, confusion
left untracted = coma