Diastolic is usually focus of treatment Hypertension The Silent Killer like a

Diastolic is usually focus of treatment hypertension

This preview shows page 6 - 16 out of 37 pages.

Diastolic is usually focus of treatment
Image of page 6
Hypertension The Silent Killer (like a ninja) Does not cause discomfort or any other s/s Malignant (hypertensive urgency) : progressive, diastolic blood pressure range 140-170, difficult to control, can lead to heart kidney and brain damage S/S: NONE other than high b/p Hypertensive Crisis : LIFE THREATENING! s/s SEVERE headache, blurred vision, nausea, confusion
Image of page 7
Hypertension: Nursing Interventions Lifestyle changes are given 6 months then Diet, exercise 30 – 45 minutes/day, lose weight, etc. Diuretics Imperative to watch K+ with potassium wasting diuretics Beta blockers Calcium channel blockers ACE inhibitors (Refer to Table 18-3 for meds, box 18 – 1 for nursing interventions with cardiac meds.)
Image of page 8
BP r/t elderly Baroreceptors normally help adjust blood pressure With aging, they become less sensitive Puts them at GREAT risk for orthostatic hypotension when changing positions
Image of page 9
Please don’t feed sodium to HTN 2000mg/day max sodium in diet Book says 2,400 mg with DASH Diet Sources of hidden sodium Refer to Nutritional Considerations on p. 403. Know what contains high amounts of sodium You should know this by heart by now, right? Preserved or smoked meats i.e. bacon, hot dogs, HAM, sausage, FROZEN dinners
Image of page 10
Arterial Insufficiency Arteriosclerosis : Hardening of the arteries General term for arterial changes Characterized by thickening of the artery walls Loss of elasticity Calcification HTN major factor! RESULT OF BOTH CAUSE DECREASED BLOOD FLOW AND HTN AND DIABTES SPEED UP BOTH Atherosclerosis : form of arteriosclerosis Lipids combine with cells, fibrin, and cell debris to form plaques Most common etiology of peripheral arterial disorders and arterial insufficiency
Image of page 11
Peripheral Vascular Disease PVD Can be arterial or venous Loss of function, narrowing or obstruction of peripheral blood vessels Contributing factors: Uncontrolled diabetes, hypertension, smoking, unhealthy lifestyle, excessive stress, defective valve function of veins Table 18-4 pg 406 S/S of arterial vs venous
Image of page 12
Arterial Insufficiency/Peripheral Arterial Disease Form of PVD caused by narrowing ARTERIES What happens if our arteries narrow? S/S Intermittent claudication (chapter 17) Decreased blood pressure in affected extremity What else??? COLD Risk for arterial thrombus 5 P’s: pain, pulselessness, pallor, paresthesia, paralysis
Image of page 13
Arterial Insufficiency/Peripheral Arterial Disease (PAD) Treatment: Regular exercise – 45 – 60 minutes/day Antiplatelet agents, thrombolytics, and platelet inhibitors Aspirin most common anti-platelet Cholesterol-lowering drugs STATINS Clot buster medications: alteplase (t-PA) Laser angioplasty, percutaneous transluminal coronary angioplasty with stent (more on this in chapter 20, basically same procedure as angioplasty) CHECK PERIHERAL PULSES
Image of page 14
Planning: Goals
Image of page 15
Image of page 16

You've reached the end of your free preview.

Want to read all 37 pages?

  • Fall '19

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes