Shared Flashcard Set

Details

Renal-ICM
Hypertension I
14
Medical
Graduate
10/25/2010

Additional Medical Flashcards

 


 

Cards

Term
What ammount of reduction in hypertension shows CVD risk reduction?
Definition
Only 5-6 mmHG
Term
How do you properly measure blood pressure?
Definition

Seated resting for 5 minutes

No Caffeine or tabacco 30 minutes prior

Bare arm supported at Height of the Heart

 

Term
What is the definition of orthostasis?
Definition
Systolic decrease of 20mmHG or Diastolic decrease of 10mmHG within 3 minutes of standing
Term
What is Pulse wave velocity and when does it carry a risk of CVD?
Definition

Speed at which the systolic pulse wave is transmitted back to the vessel that initiated the wave

High velocities are a sign of Arterial stiffening which can increase systolic pressure and decrease diastolic pressure(coronary filling)

Term
What type of blood pressure abnormality during sleep is an indicator for increased CVD risk?
Definition
Patients who do not exhibit a drop in blood when they sleeep
Term
Diagnosis of Hypertension in Adults and Children
Definition

Adults: Pre 120-139/80-90, Stage 1 140-159/90-99, Stage 2 >160/>100

 

Children: >95%tile for age, height and gender

Term
What aspect of the hypertension measurement is of particular concern in assessing the CVD Risk
Definition
Pulse Pressure
Term
What are the organs that are frequently damaged by HPTN
Definition

Heart: LVH, MI, CHF

Brain: Stroke, Hemorrhage, Aneurysm

Kidney: CKD, failure

Aorta: Aneurysm, Dissection

Eyes: Retinal Changes

Term
When is more extensive testing for secondary HPTN required
Definition

Extremely High

Abnormal labs

Suspicious History or Physical

Fails to respond to treatment

Untoward drug effect

 

Term
What is the treatment for stage 1 and 2 HPTN
Definition
Lifestyle Change and Thiazide
Term
What are typical indications for pharmaco therapy of HPTN
Definition

DM

CHF

CAD

CKD

Post MI

Stroke

Term

What is malignant Hypertension

Hypertensive Emergency

Hypertensive Urgency

Definition

Malignant: Accelerated Hypertension

Emergency: Severe 180/120 with damage to organs

Urgency: Severe w/o organ damage

Term
When should you essentially always use ace/arbs in the treatment of HPTN
Definition
HPTN with diabetic nephropathy
Term
What antihypertensives are safe in pregnancy
Definition

Hydralazine

Methyl Dopa

Labetolol

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