Download NR511 FINAL EXAM STUDY GUIDE ANSWERS VERIFIED 100% CORRECT.2023.Qualified Virginia State U and more Exams Nursing in PDF only on Docsity! TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University HYPERTENSI ON CLINICAL PRACTICE + TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University GUIDELINES NR511: DIFFERENTIAL DX 2023. CERITA SPEARS, RN + TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University HYPERTENS ION Defined: Persistent high pressure exerted in the arteries Primary Hypertension (Unknown cause; AKA essential / idiopathic) 95% Secondary Hypertension (Caused by known Underlying disorder) 5% Systolic (mmHg) Diastolic (mmHg) STAGE 1 130 – 139 80 – 89 + TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University STAGE 2 >/= 140 >/= 90 (McCance, Huether, Brashers & Rote, 2019) + TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University PATHOPHYSIOLOGY Complex mechanism of interactions between the RAAS system, the SNS, and natriuretic hormones Dysfunction Insulin Resistance SNS, RAA, NH Inflammation Vasoconstriction, Increased Na & H20 Retention Increased Blood Volume & Increased Peripheral Resistance + TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University • Edema (McCance, Huether, Brashers & Rote, 2019) + TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University Guideline Publication(s) • Organization: American Medical Association • Original CPG: 2013 – 7th Joint National Committee (JNC7) Guidelines • Current CPG: 2014 – 8th Joint National Committee (JNC8) Guidelines • Authors: Paul A. James, MD, Suzanne Oparil, MD, Barry L. Carter, PharmD, William C. Cushman, MD, Cheryl Dennison-Himmelfarb, RN, ANP, PhD, Joel Handler, MD, Daniel T. Lackland, DrPH, Michael L. LeFevre, MD, MSPH, Thomas D. MacKenzie, MD, MSPH, Olugbenga Ogedegbe, MD, MPH, MS, Sidney C. Smith Jr, MD, Laura P Svetkey, MD, MHS, Sandra J. Taler, MD, Raymond R. Townsend, MD, Jackson T. Wright Jr., MD, PhD, Andrew S. Narva, MD, & Eduardo Ortiz, MD, MPH • PCP diagnose, treat, & manage HTN + TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University (James, Ortiz et al., 2014) + TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University A: strong recommendation – high certainty that net benefit is substantial based on evidence RECOMMENDATI ON CATEGORIES B: moderate recommendation – benefit is mod to substantial or high certainty that the net benefit is moderate C: weak recommendation – small net benefit with moderate certainty based on evidence D: recommendation against – moderate certainty based on evidence that there is no benefit or risk > benefits E: expert opinion (Not substantial evidence but committee recommends) + TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University (James, et al., + TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University KEY ACTION STATEMENTS • Recommendation #1 In the general population aged >/=60 years, initiate pharmacologic treatment to lower blood pressure (BP) at systolic blood pressure (SBP) 150 mm Hg or diastolic blood pressure (DBP) 90 mm Hg and treat to a goal SBP <150 mmHg & Goal DBP < 90 mmHg. Strong Recommendation – Grade A • Recommendation #2 In the general population <60 years, initiate pharmacologic treatment to lower BP at DBP 90mmHg and treat to a goal DBP <90mmHg. (For ages 30-59 years, Strong Recommendation – Grade A; For ages 18-29 years, Expert Opinion – Grade E) • Recommendation #6 In the general nonblack population, including those with diabetes, initial antihypertensive treatment should include a thiazide-type diuretic, calcium channel blocker (CCB), angiotensin-converting enzyme inhibitor (ACEI), or angiotensin receptor blocker (ARB). (Moderate Recommendation – Grade B) • Recommendation 7 In the general black population, including those with diabetes, initial antihypertensive treatment should include a thiazide- type diuretic or CCB. (For general black population: Moderate Recommendation – Grade B; for black patients with diabetes: Weak Recommendation – Grade C) + TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University • PT currently managed w/in JNC8 CPG for HTN • Continue to monitor patient’s BP on current medication regimen unless there is a change (increase/decrease) in BP—TX appropriately. + TO NR511 CPG HTN WITH REFERENCES 100% RATED A+ DOWNLOAD SCORE A.Qualified Virginia State University REFERENCES Centers for Disease Control and Prevention (CDC). (2019). Hypertension Cascade: Hypertension Prevalence, Treatment and Control Estimates Among US Adults Aged 18 Years and Older Applying the Criteria from the American College of Cardiology and American Heart Association’s 2017 Hypertension Guideline--NHANES 2013 – 2016. Atlanta, GA: US Department of Health and Human Services; 2019. Retrieved from: https://millionhearts.hhs.gov/data-reports/hypertension-prevalence.html James, P.A., Ortiz, E, et al. (2014). Evidence-based Guideline for the Management of High Blood Pressure in Adults: (JNC8). Journal of the American Medical Association, 311(5), 507-20. Retrieved from: https://jamanetwork.com/ on 04/13/2020. McCance, K. L., Huether, S. E., Brashers, V. L., & Rote, N. S. (2019). Pathophysiology (8th ed.). Retrieved from https://online.vitalsource.com/#/books/9780323583473/epubcfi/6/2[;vnd.vst.idref=id_cover]!/4/4[pcover]/2[vst -image-button713756]@0.00: +