Exam (elaborations)
NURO 504 - Module 7 Cardiac Test With Complete Solution
- Course
- Institution
NURO 504 - Module 7 Cardiac Test With Complete Solution ...
[Show more]
Content preview
NURO 504 - Module 7 CardiacTest With Complete Solution
Hypertension - Answer abnormally high blood pressure
RF - Age, genetics, obesity, CAD, stroke, HF, renal failure
DX - Average of two or more readings taken on two or more occasions.
Stage 1 HTN - Answer 130-139/80-89
Plan = lifestyle changes and recheck in 3-6 Mts if ASCVD risk <10%
Lifestyle changes & Meds if ASCVD risk >10% are recheck in 1 month
Stage 2 HTN - Answer 140/90 or above
Secondary HTN signs - Answer liable BP, episodic pallor, dizziness,
OSA - snoring, pheochromocytoma, hypersomnia
Hypokalemia - muscle cramps, weakness
Hyperthyroidism - wt loss, heat intolerance
CKD - facial rounding, easy bruisability
Ideal BP assessment - Answer Client sit for 10 min
No tobacco or caffeine within 30min.
Seated with back against a chair
Legs uncrossed
Forearm resting comfortably
Non pharm HTN management - Answer Wt loss, nutritional counseling, low sodium diet,
exercise, smoking cessation, mod. alcohol consumption
HTN pharm management - Answer 1. Low dose thiazide diuretics
2. ACE inhibitors (more expensive)
3. Calcium channel blockers
4. Beta blockers
, 5. ARBS
White Coat HTN - Answer If blood pressure is ≥ 130 mm Hg but <160 mm Hg systolic or >
80 mm Hg but < 100 mm Hg, HBPM or ABPM can be used to establish the diagnosis; if
white coat hypertension is present, life style modification and annual monitoring with
HBPM or ABPM to detect sustained hypertension
Dyslipidemia - Answer Elevated fat or cholesterol in the blood
RF - obesity, HTN, DM, smoking, preexisting CAD, FH, thyroid disease, CKD, for women -
menopause, age 55+,
Hyperlipidemia screening - Answer ACOG - Low risk women - beginning at 40 & 45
High risk = GDM, PEC, obesity, DM - warrants early screening
Age 20-45 - assess Q 5 years
Men 45-65 - assess Q 1-2 years if no RF for CVD
Women 55-65 - assess Q 1-2 yrs if no RF, but more frequent for RF HTN, smoking Hx.
Older adults 65 - Yearly
1. evaluate RF 2. obtain a complete lipid panel after an overnight fast - LDL, HDL, total
cholesterol 3. Calculate ASCVD 10 yr risk factor
Hyperlipidemia Plan - Non pharmacologic - Answer diet changes - fat between 25-35% of
total calories & add fiber, stop smoking, increase exercise. If no fam Hx & LDL under
160 and non known cardiac factors - can defer meds for 3-6 Mts to see if lifestyle
changes help
Hyperlipidemia - Pharm - Answer Initiated base on LDL levels and risk profile
High intensity - lowers LDL by 50% or more
1. LDL over 190
2. Prevention of atherosclerotic CVD in pt with DM age 40-75 with LDL 70-189
3. ASCVD risk > 7.5% with LDL 70-189, Age 40-75
4. Pts with atherosclerotic CVD
Mod intensity - lowers LDL by 30-50%
Low Intensity - lowers LDL by <30%
F/U labs 6 weeks after initiating therapy
S/E - 30% experience muscle pain,
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 Zayla. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
