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Questions to be answered in this lesson… 1. What is blood pressure? 2. What do the numbers mean? 3. What is a “normal” blood pressure? 4. How do you we measure blood pressure? You take You and grandma take your blood pressure while waiting for the prescription to be filled Is it a normal blood pressure? Grandma’s blood pressure= 145/95 Your blood pressure= 100/68 Read Your Article… Underline or highlight the answers to the following questions… 1. What is the definition of blood pressure? 2. What do the numbers mean? 3. How would you classify grandma’s blood pressure and your own blood pressure? Blood pressure The force of blood pushing against the walls of the arteries as the heart pumps blood What do the numbers mean? BP= 120 80 systolic diastolic Systolic= blood pressure when the heart beats Diastolic= blood pressure when the heart is at rest between beats Is it a normal blood pressure? Grandma’s blood pressure= 145/95 Your blood pressure= 100/68 Categories for Blood Pressure Levels in Adults (measured in millimeters of mercury, or mmHg) category Systolic Diastolic (top number) Normal Prehypertension less than 120 (bottom number) and Less than 80 120-129 or 80-89 140-159 or 90-99 or 100 or higher High Blood pressure stage 1 stage 2 160 or higher Grandma’s blood pressure= 145/95 Stage 1 high blood pressure High BP= Hypertension Your blood pressure= 100/68 Normal Types of Hypertension 1. Primary (or Essential) a. develops gradually over many years b. no identifiable cause 2. Secondary a. tends to appear suddenly b. caused by an underlying condition: 1. kidney problems 2. adrenal gland tumors 3. congenital defects in blood vessels 4. medications: birth control pills, cold remedies, decongestants, OTC pain relievers, 5. cocaine and amphetamine use Risk Factors for High Blood Pressure 1. Age more common in men through middle age more common in women after menopause 2. Race more common in blacks (at an earlier age than whites) 3. Family history 4. Lack of physical activity 5. Tobacco use 6. Too much sodium in diet 7. Too little potassium in diet 8. Too little Vitamin D affects an enzyme produced by your kidneys Risk Factors for High Blood Pressure 9. Drinking too much alcohol drinking just 2-3 drinks in one sitting releases hormones that increase blood flow and heart rate 10. Stress 11. Chronic conditions: a. high cholesterol b. diabetes c. kidney disease d. sleep apnea 12. Sometimes pregnancy Complications of High Blood Pressure Uncontrolled hypertension can lead to: 1. 2. 3. 4. 5. 6. Heart attack or stroke Aneurysm (weakened, bulging blood vessel wall) Heart failure Weakened and narrow blood vessels in the kidneys Thickened, narrowed or torn blood vessels in the eyes Metabolic syndrome: a. increased waist circumference b. high triglycerides, low HDL c. high BP d. high insulin levels 7. Trouble with memory or understanding High blood pressure is called "the silent killer" because it often causes no symptoms for many years, even decades, until it finally damages certain critical organs What’s the opposite of high blood pressure? Hypotension BP= <60 <90 Some Causes: •Decreased blood volume (severe bleeding) •Dehydration •Heart problems (like bradycardia= HR < 60 bpm) •Endocrine problems (hypothyroidism= under-active thyroid gland) •Severe infection (bacteria produce toxins which affect the blood vessels= septic shock •Allergic reactions (anaphylaxis) •Nutritional deficiencies (lack of B-12 and Folic acid-anemia- low BP) Symptoms of Low BP If symptoms occur at all, the most common ones are: • dizziness and lightheadedness, or fainting • lack of concentration • blurred vision • nausea • cold, clammy, pale skin • rapid, shallow breathing • fatigue • depression • thirst How do we measure blood pressure? Sphygmomanometer • Sphygmόs= Greek= pulse • Manometer= pressure maker Other blood pressure cuffs Where do you place the cuff? Name? How to manually take blood pressure Video- How to take BP How to take blood pressure Karotkoff Sounds Reading on pressure gauge: • Systolic= sound first appears • Diastolic= sound disappears Karotkoff sounds Going Further (for homework) Treatment of High Blood Pressure Prevention of High Blood Pressure Bibliography • "Your Guide to Lowering High Blood Pressure, NHLBI." NIH Heart, Lung and Blood Institute. Web. 22 Apr. 2012. <http://www.nhlbi.nih.gov/hbp/index.html>. • "How To Take A Blood Pressure." - Care Guide. Web. 22 Apr. 2012. <http://www.drugs.com/cg/how-to-take-a-blood-pressure.html>. • Staff, Mayo Clinic. Mayo Clinic. Mayo Foundation for Medical Education and Research, 13 Jan. 2012. Web. 22 Apr. 2012. <http://www.mayoclinic.com/health/how-to-measure-bloodpressure/MM00784>. • "What Is High Blood Pressure?" - NHLBI, NIH. Web. 22 Apr. 2012. <http://www.nhlbi.nih.gov/health/health-topics/topics/hbp/>. • Staff, Mayo Clinic. "Definition." Mayo Clinic. Mayo Foundation for Medical Education and Research, 24 Jan. 2012. Web. 23 Apr. 2012. <http://www.mayoclinic.com/health/high-blood-pressure/DS00100>. Bibliography • Staff, Mayo Clinic. "Definition." Mayo Clinic. Mayo Foundation for Medical Education and Research, 19 May 2011. Web. 23 Apr. 2012. <http://www.mayoclinic.com/health/low-blood-pressure/DS00590>.