msn 624 module 1 exam questions and answers with c
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MSN 624 MODULE 1 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
Severe HTN/HTN Crisis
≥ 180 systolic blood pressure
and/or
≥ 120 diastolic
Hypertensive urgency
(severe asymptomatic) hypertension
Hypertensive emergency
signs of end-organ damage
Focal neurologic symptoms
anuria
CP , myocardial ischemia
CT/MRI findings indicative of cerebral ischemia and/or bleeding
Resistant hypertension
uncontrolled despite concurrent use of 3 antihypertensive agents of different classes
1 must be a diuretic
All dosed at the max
maximal doses of ≥ 4 medications belong to this class by default
Refractory hypertension
, max doses of ≥ 5 drugs
Must include chlorthalidone
Must include spironolactone
HTN Etiology
Hyperthyroidism
Sodium retention (side effect of vasodilators )
stimulants
NSAIDs
Oral contraceptives
Antidepressants
HTN Diagnostic tests
EKG
Urine studies - Na
Electrolytes,
Imaging - dissection, CVA, mediastinum, large heart
If blood pressure needs to be lowered quickly (hours)
Oral clonidine (rapid-acting)
Oral captopril (rapid-acting)
Oral or sublingual nitrates (rapid-acting)
Oral hydralazine (rapid-acting)
Infusion
If blood pressure needs to be lowered slowly (days)
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