Cardiac med surg unit Part 2

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Questions and Answers

What is hypertension and its primary consequence?

  • Low blood pressure leading to increased energy levels
  • Elevated blood pressure increasing the risk of cardiovascular disease and stroke (correct)
  • Fluctuating blood pressure causing digestive issues
  • Normal blood pressure with no adverse effects

How did the mortality rate from hypertension change from 2016 to 2017?

  • Decreased by 4.7%
  • Increased by 4.7% (correct)
  • Remained the same
  • Increased by 13%

What factors determine blood pressure (BP)?

  • Electrolyte balance, hormone levels, and hydration status
  • Heart rate, blood sugar, and cholesterol levels
  • Cardiac output, peripheral vascular resistance, blood viscosity, and circulating blood volume (correct)
  • Respiratory rate, body temperature, and oxygen saturation

Which factors can cause an increase in blood pressure?

<p>Decreased vessel stretching ability, increased blood viscosity, and increased fluid volume (A)</p> Signup and view all the answers

What does the prefix 'hyper-' in 'hypertension' mean?

<p>Excessive (B)</p> Signup and view all the answers

What is the meaning of 'viscosity' in the context of blood?

<p>Thickness (C)</p> Signup and view all the answers

What role do baroreceptors play in blood pressure regulation?

<p>Stimulate vasodilation through vessel stretching (D)</p> Signup and view all the answers

How do changes in kidney function contribute to hypertension?

<p>By decreasing fluid excretion (D)</p> Signup and view all the answers

Flashcards

Hypertension

Consistent elevation in blood pressure, a risk factor for cardiovascular disease and stroke.

Cardiac Output (CO)

The amount of blood the heart pumps each minute, influencing blood pressure.

Peripheral Vascular Resistance (PVR)

The ability of blood vessels to stretch and influence blood pressure.

Blood Viscosity

The thickness or stickiness of blood affecting circulation and blood pressure.

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Baroreceptors

Sensors in blood vessels that help regulate blood pressure by stimulating vasodilation.

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Aldosterone

A hormone that causes sodium retention; increases fluid retention impacting blood pressure.

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Risk Factors for Hypertension

Factors like sympathetic nervous system overstimulation and reduced baroreceptor sensitivity can lead to hypertension.

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Blood Pressure Categories

Classifications for blood pressure levels as defined by medical organizations (normal, elevated, etc.).

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Study Notes

Hypertension Overview

  • Hypertension, or high blood pressure (BP), is a significant risk factor for cardiovascular disease (CVD) and stroke.
  • In 2017, hypertension was the 13th leading cause of death, increasing 4.7% from 2016.

Pathophysiology of Hypertension

  • Blood pressure (BP) is the force exerted by blood on blood vessel walls.
  • BP is determined by factors such as cardiac output (CO), peripheral vascular resistance (PVR), blood viscosity, and blood volume.
  • Factors like decreased vessel elasticity, increased blood thickness, and increased blood volume can elevate BP.

Defining Hypertension

  • The American College of Cardiology (ACC) and the American Heart Association (AHA) have redefined normal and abnormal BP levels for adults aged 18 and older.
  • Other expert groups may have slightly differing definitions.

Hypertension Etiology (Causes)

  • Factors that disrupt normal blood pressure regulation can lead to elevated blood pressure.
  • Sympathetic nervous system overstimulation (vasoconstriction), malfunctioning baroreceptors and chemoreceptors, and abnormalities in hormone levels are potential contributors.
  • Decreased baroreceptor sensitivity due to prolonged increased vessel pressure can hinder vasodilation.
  • Increased hormones (like aldosterone) that cause sodium retention result in increased fluid retention.
  • Kidney dysfunction altering fluid excretion can cause elevated fluid volume, which in turn contributes to hypertension.

Blood Pressure Categories (Table 22.1)

  • The provided table does not contain the detailed content for blood pressure categories, only a descriptive header.

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