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THE SILENT KILLER HYPERTENSION
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HYPERTENSION BLOOD pressure that is above normal for sustained period .
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Most common health problem In adults and the leading cause of cardiovascular disorder.
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Hypertension is the term used to describe high blood pressure
Hypertension is the term used to describe high blood pressure. Amedical condition in which constricted arterial blood vessels
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increase the resistance to blood flow, causing an increase in blood pressure against vessel walls.
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SIGNS AND SYMPTOMS Most of the time, there are no symptoms.
Asymptomatic. Idiopathic.
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Symptoms that may occur include:
Confusion Ear noise or buzzing Fatigue Headache
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Irregular heartbeat Nosebleed Vision changes Shorthness of breath Decrease energy
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ETIOLOGY Hypertension is classified into primary and secondary hypertension. Primary no definite cause.
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increase the resistance to blood flow, causing an increase in blood pressure against vessel walls.
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Secondary hypertension it usually the result of some other primary diseases leading to hypertension such as renal disease.
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Primary hypertension is attributed to atherosclerosis.
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PATHOPHYSIOLOGY KIDNEY: release renin into the bloodstream.
LIVER: rennin helps convert angiotensin to angiotensin I
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LUNGS: angiotensin I is converted to angiotensin II
KIDNEY: angiotensine II causes arterial constriction and aldosterone secretion.
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ALDOSTERONE : cause sodium and water retention
Retained sodium and water increase blod volume.
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Arterial constriction increases peripheral vascular resistance.
Increased blood volume and vascular resistance cause hypertension.
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RISK FACTORS Family history Sedentary lifestyle Obesity
Continual stress
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Advancing age Cigarette smoking Excessive Alcohol consumption High K intake, ca, and mg
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High- fat and calorie diet
Stress Use of contraceptive drugs
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TREATMENT Diuretics Ex. Hydrochlorothiazide (aldoril, aproside)
Furosemide(lasix)
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Beta blockers Ex. Atenol(tenormin) Metoprolol (lopressor)
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ACE inhibitors and Angiotensin II receptor blockers
Ex. Benazepril (lotensin) Quinapril (accupril)
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Calcium channel blockers
Ex. Captopril (capoten, capozide) Enalapril (vasotec, vaseretic)
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Sympathetic Nerve Blocker
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Exercise regularly. Reduce stress. Stay at a healthy body weight.
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NURSING INTERVENTION DASH type can decrease or lower BP @ 2 weeks.
Stay away for the fast food.
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If you smoke, quit! Limit how much alcohol you drink -- 1 drink a day for women, 2 a day for men.
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Eat a heart-healthy diet, including K and fiber, and drink plenty of water.
Limit the amount of Na you eat
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If you have diabetes, keep your blood sugar under control.
Lose weight if you are overweight. Excess weight adds to strain on the heart. In some.
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DIAGNOSE The best way to diagnose hypertension is to check your BP frequently.
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That’s all THANK YOU! GODBLESS US ALL
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