complaints of severe head ache, blurred vision, SOB, uremia - ✔✔Malignant HTN
elderly patients
structural and functional changes
diastolic # is normal - ✔✔Isolated Systolic HTN
a situation in which blood pressure is severely elevated but there is no evidence of target organ
damage
Oral medications
normalize BP in 24-48 hours
use beta blockers or ACE inhibitors - ✔✔HTN urgency
>180/120 with end organ damage
Treat with IV vasodilators (nicardipine, clevidipine, labetalol, esmolol, nitroglycerin & nitroprusside)
reduce BP 25% witihin in hour
reduce to 160/100 within 6 hours
stuvia
, STUVIA 2024/2025
gradually decrease within next few days
monitor for organ failure
monitor BP - ✔✔HTN emergency
-"Diet: low salt, low fat, low calorie
DASH diet rich in fruits, vegetables, low fat dairy, low in total fat, saturated & cholesterol no more than
2 servings of meat, fish and poultry
-Follow up with opthamologist because of papilledema (swelling of optic disk)
-Reduced smoking lowers BP and risk of CV events
-Reduced alcohol intake limit 2 glasses a day excessive alcohol increase BP
-Weight loss lowers BP
-Exercise
-maintenance of potassium & calcium intake (adequate amounts lower BP) - ✔✔Lifestyle
modifications for HTN
-reinforce the importance of compliance with taking medications "Knowledge deficit"
-monitor for hypokalemia and hyperkalemia
-apical pulse
-monitor I & Os and daily weight - ✔✔Nursing care for HTN
%
thiazide diuretics - ✔✔Initial medication for HTN
-change positions slowly (orthostatic hypotension)
-educate avoid foods high in potassium (abvoid salt substitutes)
-high fiber diet
-use protective clothing & SPF ( can sunburn easily)
-monitor BP at home - ✔✔Interventions for antihypertensice medications
- Intermittent claudication to sharp, unrelenting constant pain.
-Diminished or absent pulses
-Pallor of foot
-Dry, shiny skin
-Cool temp. of skin
-Hair loss over toes and dorsum of foot.
-Nails are thick and rigid - ✔✔arterial insufficiency
assess:
-extremities and compare bilaterlly
-pulse
stuvia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACTUALSTUDY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.