spring10Hypertension

spring10Hypertension - TreatingHypertension Susan Hampson...

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    Treating Hypertension Susan Hampson
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    What Is Hypertension? Elevated blood pressure Untreated HTN leads to heart disease, kidney disease and failure, and stroke It is a chronic condition!
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    Types of Hypertension Primary Elevation in BP has no identifiable cause Also called essential hypertension Secondary Elevation in BP occurs because of a problem that CAN be identified Treating the cause often effects a cure
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    Treating Hypertension Life style modifications Includes such things as diet, ETOH intake, activity level, tobacco use, weight, stress Pharmacologic therapy Many options available. Combination of life style changes with drugs is the best
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    Thiazide Diuretics Per JNC 7 are the first line drugs recommended Decrease BP by decreasing circulating volume. Result is decrease in cardiac output Also lessen work load for heart as well as PVR
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    Thiazide Diuretics: Hydrochlorothiazide (HCTZ) Therapeutic Effects/Uses Treat HTN; reduce edema Mode of Action Works in distal renal tubules; Na, K, water excreted Causes some vasodilation
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    HCTZ: Contraindications/Precautions Contraindications Renal failure Anuria Electrolyte depletion Precautions Renal dysfunction SLE Liver disease DM Gout
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    Adverse Effects: HCTZ Decreases in Na, K, Cl Orthostatic hypotension, dizziness, vertigo Anorexia, nausea, vomiting Poyuria, nocturia Poor skin turgor, dry mucous membranes Blood dyscrasias
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    Nursing Implications: HCTZ Take the drug in the AM Monitor weight Ready access to bathroom Avoid salt in foods Monitor labs Avoid rapid position changes
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    Other Thiazide Diuretics Bendroflumethiazide(Naturetin) Chlorothiazide (Diuril) Metolazone (Zaroxolyn)
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This note was uploaded on 05/30/2011 for the course NUR 212 taught by Professor Susanhampson during the Spring '11 term at St. Xavier.

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spring10Hypertension - TreatingHypertension Susan Hampson...

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