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Exam (elaborations)

NUR 3610 Exam 3 Questions And Accurate Answers Latest Update

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NUR 3610 Exam 3 Questions And Accurate Answers Latest Update ...

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  • September 22, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 3610
  • NUR 3610
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NUR 3610 Exam 3 Questions And Accurate Answers
Latest Update 2024-2025


Causes of hypertension

High Na level, atherosclerosis, smoking, stress, medication, pregnancy, hormone
changes

How does high Na cause hypertension?

causes increased fluid

primary hypertension causes

increase salt intake, increase blood volume, genetic disorders, stress, artery blockages

Secondary hypertension causes

pregnancy, medications, drugs, certain illnesses

Hypertension can cause

CVA, vision loss, vessel damage, kidney failure, bone loss, MI

Normal BP

<120 / <80

Prehypertension

120--90

Stage 1 hypertesion

140--99

Stage 2 hypertension

>160 / >100

Hypertensive emergency

>180 />120

Hypertension medications include

ACE inhibitors, beta blockers, calcium channel blockers and angiotensin 2 blockers

,ACE inhibitors work by

Help relax the veins and arteries to lower blood pressure. They block an enzyme in the
body that converts a chemical called angiotensin I into angiotensin II. Angiotensin II is a
strong blood vessel constrictor.

ACE inhibitor medications

enalapril, lisinopril, benazepril

ACE inhibitor side effects

dry cough, angioedema

Examples of beta blockers

metoprolol, propranolol

Beta blockers work by

Slowing the heart rate and reducing the force of the heart's contractions, which lowers
blood pressure

Beta blocker side effects

fatigue, bradycardia, hypotension

Beta blocker patient education

change positions slow, take at same time each day, teach how to take pulse and BP at
home (in hospital will hold for a HR less than 50 and a SBP less than 90 mmHg)

Beta blocker administration alert

hold for a HR less than 50 and a SBP less than 90 mmHg

Calcium channel blocker meds

amlodipine, nifedipine, diltiazem, verapamil

Calcium channel blockers work by

blocking calcium access sites to reduce contractility of the heart

Calcium channel blocker side effects

decreased BP, bradycardia, prolong AV block headache, unusual discomfort,
peripheral edema

First line hypertension treatment for African Americans and Hispanics

Calcium channel blockers

, Angiotensin 2 receptor blocker examples

losartan, valsartan

Angiotensin 2 receptor blockers work by

blocking angiotensin 2 receptor on tissues

Angiotensin 2 receptor medications end in

-sartan

Calcium channel blocker medications end in

-pine

Beta blocker medications end in

-lol

ACE inhibitor medications end in

- pril

What is heart failure?

Poor contractility of the heart, blood is not being pumped efficiently

Lab indicator of heart failure

high BNP

Why does BNP elevate in heart failure

ventricular myocardium is stretched which leaks BNP into circulation

Normal BNP level

<100

What diagnostics are performed for heart failure

Echocardiogram, chest x-ray, cardiac catheterization

Echocardiograms do what?

show the heart structure, blood being pumped through, and ejection fraction

Chest x-rays do what?

Show cardiomegaly

Cardiac catheterization does what?

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