Prehypertension prog
Changeable with lifestyle change
Nutrition
Fiber 14 g/1000 cal K-4.7g K 1500mg Na (DM, ckd, AA) Fat- 20-30% daily < 10% saturated fat < 2% trans Fruits/veggies- 2-3 cups <3 oz refined grains
Rebound hypertension
Slowing too fast or stopping
Hctz
Eat K or hypo kalmia
Diuretic can cause orthostatic
Hypokalemia
Know symptoms
First time Bp admin
Bed for an hour
Lasix
Diuretic
Oto and renal toxic
Hypokalemia
Betablocker s/e
Decrease hr, Bp, force of contraction and output,
Betablocker need to know
Listen for full minute to heart
Not for copd
Ca channel blocker
Good for elderly and aa
Vasodilator
Bp and apical before taking each day
Grapefruit enhances
Ace
Angiotensin converting enzyme
First dose can cause syncope
Cough all night rare s/e
Prils
K sparing
Aldactone triacterone
Arbs
Angiotensin receptor blocker
Given when ACe not indicated
Avoid high K
Centrally acting sympathetic
When others don’t work
With meals
Liver tests
London peds Bp
London 1132-33
Primary htn causes
Aa Hereditary Vasoconstrictors Overweight Older Post menopause
Secondary htn causes
Drugs
Pregnant
Kidney disease
Malignant htn symptoms
Morning headache
Blurred vision
Uremia
200/150 Bp
Malignant htn physiology breakdown
Kidney failure
L ventricle failure
Stroke
Htn lifestyle changes
Reduce Na, etoh, weight, stimulants
Increase exercise, stress relief
Aldactone
K sparing
Hyperk
Ca channel blocker
Mil-pines