Htn Worksheet Essay

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The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-7) Evidence Based Practice (EBP) guidelines for HTN! The four stages of hypertension, based on BP measurements: Normal < 120 and <80 Prehypertension 120-139 or 80-89 Stage 1 hypertension 140-159 or 90-99 Stage 2 hypertension > 160 or > 100 Group discussion 1. How are these guidelines similar to what you have learned in the past? How are they different? 2. How would you stage a patient who had a BP of 146/78? 3. Discuss attitudes you have seen toward patients with an elevated BP in the clinical setting. How do you feel this affected the interventions taken/not taken with this patient? JNC-7: Significant Changes * High diastolic BP (DBP) is no longer considered to be more dangerous than high systolic BP (SBP) * What is the difference between systole and diastole? * Studies have shown that elevated SBP is strongly associated with heart failure, stroke, and renal failure * Explain how an increase in systolic could affect the heart muscle and vessels. How is this different than an elevated diastolic blood pressure? * For those older than age 50, SBP is a more important risk factor for cardiovascular disease (CVD) than DBP * Identify other risk factors for CVD. How would an elevated SBP work together with other risk factors to cause a cardiovascular event like stroke or heart attack? * Thiazide-type diuretics should be the initial drug therapy for most patients with hypertension (alone or with other drug classes). * Name two thiazide diuretics. Discuss the action of these medications and why they would be the first choice of treatment. * What limitations might there be to compliance with these

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