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Digital Seminar

Understanding Hypertensive Crisis


Speaker:
Terri Townsend, MA, RN, CCRN-CMC
Duration:
1 Hour 32 Minutes
Format:
Audio and Video
Copyright:
Aug 13, 2024
Product Code:
POS078867
Media Type:
Digital Seminar

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Description

This session explores the pathophysiology and epidemiology of hypertensive crisis, including presentation, assessment, and diagnostic testing. Risk factors and complications associated with hypertensive crisis are described. Relevant research based on current treatment guidelines is discussed.

Credit

Handouts/Brochure

Speaker

Terri Townsend, MA, RN, CCRN-CMC Related seminars and products


Terri Townsend, MA, RN, CCRN-CMC, has over 45 years of critical care nursing experience, with specialty certifications in critical care and cardiovascular nursing. She also has over 20 years teaching experience, both in the academic and clinical settings. She has been a frequent speaker at the American Association of Critical Care Nurses’ National Teaching Institute, as well as regional, national, and international conferences. In addition, she has authored and co-authored several articles in peer-reviewed nursing journals on various clinical and healthy work environment topics.

 

Speaker Disclosures:
Financial: Terri Townsend receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Terri Townsend is a member of the American Association of Critical Care Nurses.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Target Audience

  • Nurses
  • NPs
  • PAs
  • DOs
  • MDs
  • CNS

Objectives

  1. Analyze the various causes of hypertensive (HTN) crisis.
  2. Differentiate HTN emergency and HTN urgency.
  3. Implement current evidence-based interventions for HTN crisis management.
  4. Analyze preventive measures for HTN crisis.

Outline

  • Introduction
  • Definitions
    • Hypertension
    • Hypertensive Crisis
  • Prevalence of Hypertension and Hypertensive Crisis
  • Etiology and Pathogenesis
    • Relationship to renal disease
    • RAAS malfunction
    • High sodium-volume dependence
    • Acute baroreflex failure
    • Autodysregulation
  • Clinical manifestations of target organ damage
  • Assessment and diagnostics
    • History and physical exam
    • Laboratory tests
    • ECG
    • Chest Xray
    • CT if presents with altered mental status
  • Complications
    • Cardiovascular
    • Neurological
    • Renal
    • Other organ systems
  • Treatment Considerations
    • Treatment goals 1st 24 hours
    • Parenteral therapy indications based on target organ involvement
  • Medications
    • Vasodilators
    • Beta blockers
    • Calcium channel blockers
    • Alpha blockers
    • Dopamine agonists
    • Other drugs
  • Next steps
    • Transition to oral medications when patient stable
    • Taper IV medications to avoid rebound hypertension
  • Prevention of recurring hypertensive crisis
    • Home medications
      • Titrate medications monthly as needed
    • 1st line medications
      • Calcium channel blockers
      • ACE inhibitors
      • Aldosterone Receptor blockers
      • Thiazide diuretics
    • Patient education
      • Medication compliance
      • Home blood pressure monitoring
      • Lifestyle
        • DASH diet
        • Weight loss
        • Increase physical activity
        • Limit alcohol
        • Stop smoking
  • Summary and conclusion

Reviews

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