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Hypertension (HTN). Persistent blood pressure that is higher than the recommended blood pressure range About 60% of all Americans have some form of high blood pressure (pre-hypertension or hypertension)

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Presentation Transcript

What is hypertension

Persistent blood pressure that is higher than the recommended blood pressure range

About 60% of all Americans have some form of high blood pressure (pre-hypertension or hypertension)

HTN means the heart is working harder than normal putting extra strain on the heart and vessels.

What Is Hypertension


Blood pressure ranges
Blood Pressure Ranges recommended blood pressure range

  • Normal blood pressure range < 120/80

  • Pre-Hypertension >120/80 but <140/90

  • Hypertension - >140/90

  • Both systolic and diastolic pressures do not have to be out of range

  • Only Systolic or Diastolic must be out of range to qualify as hypertension


Two stages of htn
Two Stages of HTN recommended blood pressure range

  • Stage 1 HTN >140/90 but <160/100

  • Stage 2 HTN >160/100


What causes htn
What Causes HTN recommended blood pressure range

  • 90%-95% of the time hypertension is elevated blood pressure without an identifiable cause.

  • Exact cause is unknown

  • Many contributing factors have been identified as predisposing factors to HTN


Predisposing factors for htn

Hereditary Predisposition (Family History) recommended blood pressure range

Sodium intake

Weight

Diabetes Mellitus

Alcohol Consumption

Smoking

Serum Lipid Levels (Cholesterol and LDL)

Sedentary Lifestyle

Ethnicity

Age

Gender

Socioeconomic Status

Stress

Predisposing Factors for HTN


Signs and symptoms

Known as the Silent killer recommended blood pressure range

If BP is very high, you may experience:

-fatigue

-decreased activity tolerance

-dizziness

-palpitations

-angina

-dyspnea

Signs and Symptoms


How htn is diagnosed

Based on the average of 2+ seated BP measurements at the MD’s office

Must be averaged

Must be seated BP measurements

Must be in the MD’s office

How HTN is diagnosed


Complications related to htn
Complications Related to HTN MD’s office

Heart Failure

Enlarged Left Side of the Heart

Coronary Artery Disease

Cerebrovascular disease (Brain)

Peripheral Vascular Disease

Kidney Failure

Retinal Damage (Eyes)


Treatment of htn
Treatment of HTN MD’s office

  • Different types require different treatments

  • Pre-Hypertension – Lifestyle modifications

  • Stage I Hypertension – Lifestyle modifications and a thiazide-type diuretic

  • Stage II Hypertension – Lifestyle modifications, thiazide-type diuretic and one another antihypertensive drug

  • Not definitive

  • Treatment is personalized


How to prevent htn

Lifestyle modifications prevent HTN and include: MD’s office

-Maintaining a Healthy Weight

-Reduce Salt/Sodium Intake

-Increase Physical Exercise

Smoking Cessation

Limit Alcohol Consumption

Limit Fat Intake

Control Diabetes

Stress Relieving Techniques

Take BP Meds as Ordered

Home Monitoring of BP

How to Prevent HTN


References
References MD’s office

  • Lewis, S. L., Heitkemper, M. M., Dirksen, S. R., O’Brien, P. G., & Bucher, L. (2007). Medical-Srugical Nursing: Assessment and Management of Clinical Problems. Missouri: Mosby.


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