Lv One - Exam Three - Circulation Pp

Front 1

Primary cause of cardiovascular disease?

Back 1

Heart attack
Congestive heart failure
Stroke

Front 2

Second most cause of cardiovascular disease

Back 2

Kidney failure

Front 3

What percent of hypertension do they do not know the cause?

Back 3

90 %
Essential hypertension

Front 4

What percent do we know the cause of hypertension?

Back 4

10 %
Secondary hypertension

Front 5

Secondary hypertension

Back 5

Kidney disease
adrenal gland tumors
Hormone problems
birth control pills
pregnancy

Front 6

Within 8 hours of not smoking what happens?

Back 6

Carbon Monoxide decreases to normal level
Oxygen increases to normal level

Front 7

Within 24 hours of not smoking what happens?

Back 7

50 percent less chance of having a heart attack

Front 8

Within 48 hours of not smoking what happens?

Back 8

Nerve ending start to regenerate
Taste and smell begins to come back

Front 9

Witing the first couple of months after stop smoking
what happens?

Back 9

Most healing takes place

Front 10

Hypertension is?

Back 10

mostly preventable

Front 11

Garden Hose

Back 11

Garden Hose of water thru a straw

Front 12

Isolated systolic hypertension
(medical dx)

Back 12

SBP > 140

Front 13

Pseudohypertension
(medical dx)
Found in?

Back 13

found in elderly
diabetic
uremic

Front 14

Pseudohypertension
(medical dx)
what is it

Back 14

erroneously high blood pressure reading is given by sphgmomonmetry usually due to loss of flexibilty of the arterial walls

Front 15

Pseudohypertension
(medical dx)
what is it

Back 15

Bad readings

Front 16

Primary hypertension
other names

Back 16

essential
idiopathic

Front 17

Primary hypertension
what %

Back 17

90-95% of cases we do not know

Front 18

What is primary hypertension?

Back 18

Elevated BP w/out an identified casue.

Front 19

Etiology of primary hypertension

Back 19

Incr SNS activity
Incr NA retaining hormone and vasoconstrictors (aldostoerone)
Diabetes
>ideal body weigh
Inc NA intake
Alchoholo

Front 20

Aldosterone

Back 20

Na retaining hormones

Front 21

Etiology of secondary hypertension

Back 21

Coaraction of aorta
Renal disease
Endocrine disorders
Neurologic disorders
Cirrhois
Sleep apnea

Front 22

Secondary hypertension
%

Back 22

5 to 10 % know cause

Front 23

Hypertension over age 50

Back 23

SBP more important then DBP as a CVD risk factor

Front 24

Sleep Apnea

Back 24

Heart beats faster
BP rises

Front 25

Risk for Primary hypertension

Back 25

Age
Alcohol
Smoking
Diabetes
Elevated serum lipids (chlor)

Front 26

Risk for Primary hypertension

Back 26

Excess dietary Na
Gender
Family history
Obesity
Ethnicity

Front 27

Risk for Primary hypertension

Back 27

Sedentary lifestyle
Socioeconomic status
Stress

Front 28

Normotensive

Back 28

having normal BP

Front 29

Understanding risk factors of hypertension does what for us?

Back 29

Apply to all areas of nursing process
ADPIE

Front 30

Basic Phsy cause of hypertension
(2)

Back 30

Kidneys
Renin angiotension mechanism

Front 31

Altered renin-angiotension mechanism

Back 31

high plasma renin activity

Front 32

Left Ventricular hypertrophy

Back 32

Large floopy heart

Front 33

Hypertension complications

Back 33

Cerebrovascular disease (stroke)
Peripheral vascular disease
Nephrosclerosis (hard of kidney)
Retinal damage

Front 34

BP is the highest when?

Back 34

Early in morning

Lower at night

Front 35

White coat phenomenon

Back 35

Stress out as soon as they walk into an office.

Front 36

What does the BP do after eating?

Back 36

It lowers
Blood goes to stomach

Front 37

Benefits of lowering BP

Back 37

Lower:
Stroke incidence
Myocardial infarction
Heart failure

Front 38

Rule of 7s
Food high in Na
******
Know it Live it Love it

Back 38

Soups
Sauces
Snacks
Smoked Meats
Common dem - all processed
Sauerkraut
Seasonings
Na processed cold cuts

Front 39

Currently taking BP l

Back 39

Seated quietly for 5 min in chair
Feet on floor
Arm supported at heart level

Front 40

What does alcohol in moderation do?

Back 40

Thins blood

Front 41

Lifestyle modifications/interventions for hypertension

Back 41

Physical activity
No tobacco products
Stress managment

Front 42

Drug therapy for hypertension

Back 42

Reduce SVR
systemic ascular resistence
Reduce volum of circulating blood

Front 43

Drug classes

Back 43

Diuretics
Adrenergic inhibitors
Direct Vasodilators
Angiotensin inhibitors
Calcium channel blockers

Front 44

Side efects of drug therapy
(we want the opposite reaction to what is happening)

Back 44

Orthostatic hypotension (positional)
Sexual dysfunction
Dry mouth
Frequent urination

Front 45

Isolated systolic hypertension

Back 45

Most common form for age over 55
Over 140

Front 46

Syst BP

Back 46

Heart is contracting

How hard is the the heart working

Front 47

Dial BP

Back 47

Heart is relaxing and filling up with blood

Front 48

BP cuff does not fit

Back 48

To large (to low BP reading)
To small (to high BP reading)

Front 49

Auscultatory gap

Back 49

Wide gap between the first Korotkoff sound and subsequent beats

Front 50

Baroreceptor Reflex

Back 50

sensors in heart
older adults more with orthost BP

Front 51

Cultural BP

Back 51

Highest African Americans
Hispanics
Native Americans

Front 52

Hypertension Crisis

Back 52

BAD
BP rate increase
Emergency
Will die if will not get help

Front 53

Hypertension Crisis
happen to?

Back 53

People that do not take meds
or
People that are undermedication

Front 54

When in hypertension crisis
sever target organ damage

Back 54

Acute renal failure
Pulmonary edema (lungs fill up with fluid)
Heart damage

Front 55

What number is affected with crisis?

Back 55

Dial BP