Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Cecily Fontenot
Marley McHenry
Christen Kennon
What is hypertension?
AKA __________________
2 types of hypertension
Primary hypertension
Related to _________________ and environmental factors
Heritable component is unclear
Environmental: dietary sodium, obesity, and stress
Secondary hypertension
When Blood pressure is _________________ when measured in the office and higher
outside the office
Patient should monitor their blood pressure for 24 hours
Occurrence of Hypertension
Heart
Left ventricle ____________
Angina/ prior MI
Prior coronary _____________________
Heart failure
Brain
Stroke
Transient ________________ attack
Dementia
Chronic kidney disease
Peripheral arterial disease
Retinopathy
__________________________
Age: men >55 years, women >65 years
Diabetes mellitus
High LDL or low LDL ____________________
Restlessness
Flushed face
Headache, dizziness, tinnitus
Visual disturbances
___________________
A hammering pulse
Altered mental state
Chest pain
Seizure
Treatment of Condition
Lifestyle Modifications
Weight reduction
______________________________
Dietary sodium reduction
Physical activity
Moderation of alcohol consumption
Medications
Lisinopril
Amlodipine
Benicar
Losartan
Metoprolol
____________________
Avapro
Diovan
Emergency situations
Hypertension will not affect oral health alone; however medications can cause some side
effects.
ACEIs- neutropenia, delayed healing, gingival bleeding, oral burning, angioedema, and
persistent cough
Diuretics- ____________
Thiazides, methyldopa, propranolol, and labetalol- lichenoid reactions
_______________ diuretics- oral lesions associated with and allergic or toxic base
Most patients will not need antibiotic premed, but may possibly need an anti-anxiety
premed to reduce stress during the procedure
Certain medications may require the patient to be seated _____________________
Short appointments should be considered to help reduce stress
Your area should be clutter free and organized
Keep needles/sharp instruments out of direct sight
__________________ use is not indicated or contraindicated
Patients should be on a 6 month recall unless their periodontal status is moderate. Then
they should be 3 months.
Questions!!
2.) Primary hypertension has an identifiable and correctable cause. Secondary hypertension
is among 5-10% of the population.
A. Both statements are true
B. The first statement is true and the second statement is false
C. Both statements are false
D. The first statement if false and the second statement is true