-
B/P
risk & effects of hypertention
- normal 120/80
- prehypertention- systolic-120-139 & diastolic 80-89
- contributes 2 athersclorosis, heart disease, HF, kidney disease, blindness, stroke
- when no kown cause called primary hypertention linked 2 diet & lifestyle
- African Americans after 65yr 2x more likely to get then whites
- no cure only controlled
- systolic # more inportant
-
nonpharmacological management
when cause known it secondary hypertention- biggest cause is kidney disease, then tumors or abnormalities of adrenal gland
- non med measures include
- wt loss
- stress reduction
- reg. aerobic exercise
- stop smoking
- limit alcohol
- dietary changes like sodium, eating low saurated fats, total fats, cholesterol, dairy, also rich vegies, fruits, usually DASH diet recommended whole grains, poultry, fish, & nuts, lower fats, red meats, sweets, & sugared drinks
-
risk factors in hypertensive pt
- Age, sex (women >55yr & men >45yr)
- African Americans
- obesity
- high intake of salt & low intake of potassium
- high comsumption alcohol
- low physical activity
- smoking
- family hx of high b/p, cardiovascular disease, DM, persistant stress
- overwt in youth <18yrs
-
drug therapy
- 1st diuretic or beta androgenic blocker
- better 2 do a combination of meds or regimen better
- SEE PAGE 330 tbl 36.2
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