Hypertension: Presented By: Group B Second Year Nursing Students Richelle Anne B. Correa, RN

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HYPERTENSION

PRESENTED BY:
GROUP B
Second Year Nursing Students
Richelle Anne B. Correa, RN
What is Hypertension?
hypertension
- is a sustained systolic blood pressure of
140 mmHg or more and sustained Diastolic
Blood Pressure of 90 mmHg or more in at
least 2 visits at 1 week interval. (JNC 7)
Often called the “SILENT KILLER” that
usually causes no symptoms until it
reaches a life-threatening stage.
IO N
TE NS
R
F H YPE
ES O
TY P
PRIMARY
Also called “ essential” and
Idiopathic Hypertension
The cause is unknown
SECONDARY
Caused by primary diseases such as
renal disease.
CLASSIFICATION OF HYPERTENSION

Category Systolic Diastolic


(mmHg) (mmHg)

Normal <120 <80


Pre-hypertension 120-139 80-89

Stage 1 140-159 90-99


Hypertension

Stage 2 ≥160 ≥100


Hypertension
SYMPTOMS OF
HYPERTENSION

May be asymptomatic
Common symptoms
1. Headache
2. Morning headache
3. Dizziness
4. Nausea/ Vomiting
5. Shortness of breath
6. Chest pain
7. Heart palpitation
8. Nuchal pain
OT H
ER S
YMP
TOM
S:
1. Anxiety
2. Nose bleeds
3. Fatigue
4. General feeling of
unwellness
5. Changes in vision
6. Blurred vision
7. Double vision
8. Increase sweating
9. Tinnitus
10. Confusion
11. Convulsion
12. Papilloedema
13. Flushed face
14. Pale skin
15. Red skin
Risk factors:

FAMILY HISTORY
People with
positive family
history of
hypertension
are twice at
risk than those
with no
history.
AGE
Olde
r per
are a sons
risk f t g reate
or r
hype
rtens
than i on
youn
perso ger
ns.
HIGH
SALT
Salt m INTAK
a y cause E
eleva an
tion in
increa b l ood v
s e
cardio the sens o lu m e
v a scular i t i vit y o f ,
mech or ren
anism
such a s to a al
s r d r
aldos e n in-ang energic ,
teron
e mec iotensin-
hanis
m.
OBESITY
Risk for hypertension is two times greater
among overweight /obese compared to
people of normal weight and three times
more than that of underweight persons
EXCESSIVE ALCOHOL INTAKE
Regular consumption of three or
more drinks per day increased
risk of hypertension.
Systolic pressures were more
markedly affected than diastolic
pressures.
Smoking

Cigarette smoking elevates the blood


pressure level by 5 to 10 mm Hg during the
day. The first cigarette of the day has this
particular effect on the smoker's body. It
has been found by a study that cigarette
smoking increases the systolic blood
pressure count by at least 20 mm Hg
prevention

1. Shed those extra


pounds and
move a little
• Brisk walking for
30 to 45 minutes
three times each
week.
s a l t,
T a b l e
u ce d f o o d s
2. Re d at t y
a n d f
su ga r

a. Remove the saltshaker from the table


b. Cut back on snacks
c. Read the label on every type of food you buy.
Cu
Al t b
co ac
ho k o
l n

y!
ad
re
Al
g
in
ok
m
tS
ui
Q
Encourage
regular check ups
to those person
who are at risk.
Treatment
Thiazide diuretics. Diuretics,
sometimes called "water pills,"
are medications that act on
your kidneys to help your
body eliminate sodium and
water, reducing blood
volume.

Beta blockers. These


medications reduce the
workload on your heart and
open your blood vessels,
causing your heart to beat
slower and with less force.
- c o n ve rt ing
sin
Angioten ) inhib i to r s. T h ese
e (A C E o d
enzym h e lp re l a x b lo
ti o n s
medica c kin g th e
s sel s b y blo
v e n at ural
o f a
formation t narrows blood
m i c a l t h a
ch e
vessels.
Angiotensi
n II recepto
blockers. T r
hese medic
help relax ations
blood vess
blocking th els by
e action —
formation not the
— of a natu
chemical th ral
at narrows
vessels. blood
Calcium channel blockers. These medications
help relax the muscles of your blood vessels.
Some slow your heart rate. A word of caution
for grapefruit lovers, though. Grapefruit juice
interacts with some calcium channel blockers,
increasing blood levels of the medication and
putting you at higher risk of side effects.

Renin inhibitors. Aliskiren (Tekturna) slows down


the production of renin, an enzyme produced by
your kidneys that starts a chain of chemical steps
that increases blood pressure.
Alpha blockers. These
medications reduce nerve
impulses to blood vessels,
reducing the effects of natural
chemicals that narrow blood
vessels.

Alpha-beta blockers. In
addition to reducing nerve
impulses to blood vessels,
alpha-beta blockers slow the
heartbeat to reduce the
amount of blood that must be
pumped through the vessels.
a g e n t s . Th ese
ng
Central-acti e v e n t y our
p r
medications lin g y o u r
sig n a
brain from t o in cr e a se
tem
nervous sys a n d n a rrow
r a te
your heart v e s sels.
your b l oo d
Vaso
dilato
medi r
cation s. These
the m s wor
uscle k dire
your s c
arter in the wal tly on
musc ie ls
les fr s, prevent of
o m ti
your
arter ghten ing the
ies fr ing a
om n nd
arrow
ing.
In behalf of the CSU-
Aparri Nursing
Department, we would
like to extend our sincerest
gratitude po sa inyong
lahat, … sa uulitin po ha?
We love you!!!!

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