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Hypertension - Coggle Diagram

- - - - ex. chlorothiazide
      - ^ elimination of sodium and chloride in about equivalent amounts
      - inhibits resorption of sodium and chloride in the dital convoluted tubules in the kidenys
    - - Ex. Furosemide
      - most potent
      - Increase elimination of sodium and chloride by primarily preventing re-absorption
    - - reduce sodium re-absorption in the distal tubule, thus decreasing potassium secretion
  - - - Decrease the response to epinephrine, slowing HR and preventing basal constriction
  - - - common side effect is dry, non-productive cough
- - - - Chest pain
      - SOB
      - Confusion
  - - - Headache, nausea/vomiting, seizures, confusion, coma
    - - fluid retention
      - decreased urinary output
    - - MI, HF, pulmonary edema
  - - - Mean arterial pressure = SBP + (2*DBP)/3
        minimum = 60
- - - - HTN from pregnancy, is relieved when baby is born
    - - Cocaine
      - Meth
- - - - Teach them to change positions slowly
      - Increased risk with age
    - - Beta blockers can cause eretile dysfunction
      - warn ptt, and check for compliance
    - - Dry mouth
      - Miserable side effect
      - Give tips for dealing with it
        
        drink more water
        
        chew sugar free gum
        
        sugar free mints/candy
    - - take in morning
      - monitor for compliance
- - - - Primary prevention via lifestyle modification (1st tx)
    - - get ptts to quit smoking
      - get them to start exercising
      - requires collaboration
      - DASH diet
        
        High in fruit and veg
        
        Low sugar, fat, and salt
        
        moderate protien