Increased activity of the renin angiotensin aldosterone sys tem resulting in

Increased activity of the renin angiotensin

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Increased activity of the renin-angiotensin-aldosterone sys- tem, resulting in expansion of extracellular fluid volume and increased systemic vascular resistance. Decreased vasodilation of the arterioles r/t dysfunction of vascular endothelium. Resistance to insulin action, which may be a common factor linking hypertension, type-2 diabetes, hypertriglyceridemia, obesity, and glucose intolerance. Hypertension (B&S- CH.31 ) (ATI CH.36 ) (MSMIE pg. 309-314 ) MSMIE - BP measurements of more than 140/90 on two or more clinical visits, throbbing occipital headaches upon awakening, drowsiness, confusion, vision problems, nausea. B&S - facial flushing, dizziness, fainting, nocturia. Different stages (ATI): Prehypertension: systolic 120-159 mm Hg; diastolic 80-89 mm Hg. Stage 1 Hypertension: Systolic 140-159 mmHg; diastolic 90-99 mmHg. Stage II Hypertension: Systolic ≥ 160 mmHg; diastolic ≥ 100 mmHg. Hypertensive Crisis: Systolic ≥ 240 mmHg; Diastolic ≥ 120 mmHg Deficient knowledge regarding the relation be- tween the treatment regimen and control of the disease process. Noncompliance with therapeutic regimen r/t side effects of prescribed therapy. Treatment Medications Signs/Symptoms Nursing Diagnosis Pathophysiology
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  • Fall '14
  • Secondary Hypertension

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