Pathophysiology Concept Map Risk factors Signs and symptoms Age Abnormal Heart sounds Alcohol Bilateral BP’s significantly different Diabetes Orthostatic changes in BP and HR Excess dietary sodium Systolic>130 ;Diastolic> 80 Family History Decreased or Absent Peripheral Pulses Obesity Peripheral Edema Potential complications Heart Disease Cerebrovascular disease Peripheral Vascular disease Nephrosclerosis Retinal Damage Sedentary Lifestyle Stress Disease Process: Hypertension Pathophysiology (Definition/etiology, chronicity and prognosis Primary hypertension (essential or idiopathic) is elevated BP without an identified cause. There are multiple contributing factors, these include changes in endothelial function related to either vasoconstricting or vasodilating agents, increased SNS activity, overproduction of sodiumretaining hormones, increased sodium intake, greater than ideal body weight, age, family history, ethnicity, diabetes, tobacco use, and excess alcohol intake. Laboratory and Diagnostic studies Routine urinalysis BUN, and serum creatinine levels are used to screen for renal involvement and provide baseline information about kidney function Blood glucose levels aid in the diagnosis of diabetes A lipid profile gives information about risk factors related to atherosclerosis and CVD Medical and Nursing treatments Periodic BP monitoring Nutritional therapy Regular, moderate physical activity Stress management techniques Antihypertensive drugs Tobacco cessation Source________________________________________________________________________________________________________________________ An electrocardiogram (ECG) gives baseline information about heart status