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HTN and CAD (Coronary Artery Disease (risk factors (age, gender (male more…
HTN and CAD
Coronary Artery Disease
starts with fatty streaks,seen in teens, becomes fibrous plaques
not sudden thing, over many years
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collateral - natural bypass heart creates to go around potential occlusion, not everyone has them
risk factors
age, gender (male more than women until menopause) African americans at higher risk, Lipids, HTN, tobacco use, activity obesity,
Diabetes-tendency to have small arteries, dont have classic CP
Merabolic syndrome, Obesity, Diabetes, high cholesterol
psychological state, lower stress
DRUG THERAPIES
ASA, statins, plavix(usually after intervention), lopid, niacin, b blockers
HTN
left ventricular hypertrophy, enlarged heart, leads to HF
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HTN care
lifestyle modifications
exercise, wt reduction, DASH eating (low Na, limited red meat) lower alcohol, no tobacco use, stress management
nursing considerations
lifestyle changes, consistant med taking,
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HTN crisis
hydrolozine IVP, lasix IVP, nipride (max 3 days) headache, cardine drip
patho: heredity altered renin angiotensin, endothelial cell dysfunction, increased SNS activity, insulin, Na & H2O retention