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Pharmacotherapy of hypertension
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Life expectancy has grown over the last 100 years. This leads to a variety of health issues and problems that affect these elder generations quality of life. According to the United States CDC, one in three American adults suffers from hypertension. With so many Americans having high blood pressure it is no surprise that hypertension is one of the most dangerous conditions, leading to death, in the elderly. Doctors often skip directly to subscription, medications to help control elevated blood pressures, but other problems can arise from these medications, like dementia. The earlier the hypertension is diagnosed, the faster doctors can help create a treatment plan individually tailored to help the sufferer.
What is hypertension? Hypertension is the medical condition, which an individual has elevated blood pressure caused by pressure in the arteries in-between heartbeats (“Hypertension”). Blood pressure is measured by two different analysis’s; systolic pressure, and diastolic pressure. These measurements are generally written in fraction form: 120/76. The first or top number is systolic pressure. It measures the pressure in the arteries when the heart is contracting (American). The second or bottom number is diastolic pressure. This measures the pressure of the arteries when the heart is resting and refilling with blood (American). These measurements help gauge healthy pressure levels, and normal blood pressure falls anywhere below 120/80. The more pressure in the arteries, the harder the heart has to work, and higher risks for serious health problems may occur. This can sound like an exaggeration of probable health problems, but considering that one in three American adults has high blood pressure, there are millions of people at...
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Blood pressure is measured by mmHg (millimetres of mercury) and it is written as two numbers. The first number is the highest pressure that the heart reaches in beats and the second number is the lowest blood pressure reached between the heart beats. A normal blood pressure level in adults is blood pressure less than 120/80 but for someone with CKD; high blood pressure is if it is 130/80.
Blood pressure is measured by two pressures; the systolic and diastolic. The systolic pressure, the top number, is the pressure in the arteries when the heart contracts. The diastolic pressure, the bottom number, measures the pressure between heartbeats. A normal blood pressure is when the systolic pressure is less than 120mmHg and Diastolic pressure is less than 80mmHg. Hypertension is diagnosed when the systolic pressure is greater than 140mmHg and the diastolic pressure is greater than 90mmHg. The physician may also ask about medical history, family history, life style habits, and medication use that could also contribute to hypertension
Systolic and Diastolic are the two types of Heart Failure. Systolic dysfunction occurs when the heart muscle doesn't contract with enough force, which means there is less oxygen-rich blood that is pumped throughout the body. Diastolic dysfunction is the heart contracts normally, but the ventricle does not relax properly, reducing the amount of blood that can enter the heart and raise the blood pressure in the lungs. Heart failure is a progressive condition and can worsen over time. There are four stages of heart failure that have been classified by the AHA and ACC. Stage A are people that are at a high risk for developing heart failure. This includes people with high blood pressure, Diabetes, coronary artery disease and metabolic syndrome. Stage A also include people with a history of alcohol abuse, cardiotoxic drug therapy, rheumatic fever, and family history of cardiomyop...
Blood pressure is a measurement of the force against the walls of your arteries as your heart pumps blood through your body. Hypertension is another term used to describe high blood pressure. This common condition increases the risk for heart disease and stroke, two leading causes of death for Americans. High blood pressure contributed to more than 362,895 deaths in the United States during 2010. Approximately 67 million persons in the United States have high blood pressure, and only half of those have their condition under control. An estimated 46,000 deaths could be avoided annually if 70% of patients with high blood pressure were treated according to published guidelines (Patel, Datu, Roman, Barton, Ritchey, Wall, Loustalot; 2014).
The causes of hypertension are unknown. However; hypertension can be classified into two categories primary and secondary. Primary (essential) hypertension is increas...
Hypertension is a developing problem worldwide,associated with an increased risk of cardiovascular morbidity and mortality. In 2020, the world population will be approximately 7.8 billion people, and there will be 1 billon people who may be affected by hypertension (Tomson & Lip, 2005). One in three adults in the United States has high blood pressure. According to the report “Health, United States, 2010 with Special Feature on Death and Dying,” the prevalence of hypertension among adults 20 years old or older increased from 24% to 32% during 1988-1994 and 2005-2008. The African-American population has a higher prevalence of this health condition than white Americans do. In 2005 to 2008, the prevalence of hypertension among black males (41.4%) was more than 10%, compared to white males at 31.5% of the population. The hypertension rate of black females was more than twice that of white females. The death rate from hypertension among black males was 51.8 per 100,000, and among black females was 40.4 per 100,000; however, the morta...
The review of literature corresponds to the African Americans risk of getting hypertension. It showed that African American are at a higher risk for hypertension because many of them are unwilling to seek medical care and even when they do they do not take their medications as prescribed.
Hypertension increases the risk of heart failure 2 to 3 fold. (He, et al, 2001) The American College of Cardiology (ACC) has identified 4 stages of heart failure. (Hunt, Abraham, Chin et al, 2009). Screening patients for heart failure is sometimes controversial. Health care administrators...
Congestive heart failure is a chronic state, often referred to as heart failure. Heart failure occurs when the heart muscle does not pump blood as well as it should. There are various complications with congestive heart failure. For example, narrowing arteries in the heart, known as coronary artery disease or high blood pressure, repeatedly leave the heart too weak or stiff to fill and pump successfully. Sadly, not all situations that lead to heart failure are reversible, but treatments are implemented to improve the symptoms of heart failure and provide a longer lifestyle. Day-to-day lifestyle changes such as exercising, reducing salt, managing stress, and losing weight can improve the quality of life. Additionally, a patient taking a combination
The National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health can also provide information about high blood pressure and its treatment. Visit their Web site at http://www.nhlbi.nih.gov/.
" Journal of Clinical Hypertension 13.5 (2011): 351-56. EBSOHost.com - a. Web. The Web.
Mcmurray, J. "Practical recommendations for the use of ACE inhibitors, beta-blockers, aldosterone antagonists and angiotensin receptor blockers in heart failure: Putting guidelines into practice." HUG - Service de pharmacologie et toxicologie cliniques - Genève. The European Journal of Heart Failure, 5 July 2005. Web. 20 Mar. 2014.
Over 670,000 people a year are informed that they have congestive heart failure, also known as CHF. At first it may be pretty scary too hear these words, so let me explain a little bit about CHF. Congestive heart failure does not mean that the heart has failed to work, it simply has started pumping weaker than normal. There are a large number of signs & symptoms including: congested lungs, edema, irregular heartbeats, dizziness, and fatigue. Numerous things can cause CHF like coronary artery disease, a heart attack, hypertension, and diabetes. In this paper I will give a case scenario about a patient I cared for, a thorough assessment, and come up with two nursing diagnosis that apply to this patient. Taking the diagnosis into account I will create two goals and two interventions for each goal.
Cardiovascular disease is currently the nation’s leading non-communicable cause of morbidity and mortality. According to the American Heart Association, the most common form of cardiovascular disease is coronary artery disease, a condition in which the heart’s blood supply is reduced due to a narrowing of the coronary arteries. These arteries play a significant role in regulating the flow of oxygenated blood to the heart. As blood circulates through the arteries, it exerts a force against the vessel walls, known as blood pressure. To withstand this pressure, elastic fibers interspersed along the artery walls allow the arteries to expand and recoil. Abnormally high blood pressure, however, will cause these muscles to thicken as a result of tears in the damaged artery walls trapping particles that aggregate as plaque. Progressive build-up of plaque ultimately leads to a narrowing of the arteries, subsequently diminishing blood flow to the heart and other body organs. This cascade of events triggered by high blood pressure illustrates why hypertension is one of the most important risk factors for cardiovascular disease. Affecting 1 in every 3 adults in the United States alone, hypertension substantially raises the risk for heart disease in an affected individual who, most likely, does not show any signs or symptoms. In addition to the risks associated with this “silent killer,” comorbidities such as obesity, diabetes, and high cholesterol can drastically worsen health outcomes in hypertensive patients. Given the high prevalence and severe consequences of hypertension if undetected, researching this particular topic will increase our understanding of the causes of hypertension by identifying and narrowing down lead candidates for pot...
This manuscript details the alarming increase in disability in the oldest old. With the rapid growth of this age group, issues associated with functional loss with have a tremendous financial impact throughout the world. The study has identified several risk factors associated with increased disability incidence, several of which may be modifiable. This is especially critical, as CHF is the most expensive medical illness in the United States and represents over 5% of the total health care budget48. With the prevalence and incidence of CHF rapidly rising in the United States49, it will be critical to prepare for the dramatic increase in disability as a result. Reduction of risk factors for CHF, such as hypertension and high cholesterol, would likely be beneficial in reducing incident disability in the oldest old.