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TEOPIZ, MARK JOVAN JR.

PED 028 MODULE 1&2

ACTIVITY 1

HYPERTENSION

What is hypertension?

Blood pressure is the force exerted by circulating blood against the walls of the body’s arteries, the
major blood vessels in the body. Hypertension is when blood pressure is too high.Blood pressure is
written as two numbers. The first (systolic) number represents the pressure in blood vessels when the
heart contracts or beats. The second (diastolic) number represents the pressure in the vessels when the
heart rests between beats. Hypertension is diagnosed if, when it is measured on two different days, the
systolic blood pressure readings on both days is ≥140 mmHg and/or the diastolic blood pressure
readings on both days is ≥90 mmHg. Modifiable risk factors include unhealthy diets (excessive salt
consumption, a diet high in saturated fat and trans fats, low intake of fruits and vegetables), physical
inactivity, consumption of tobacco and alcohol, and being overweight or obese. Non-modifiable risk
factors include a family history of hypertension, age over 65 years and co-existing diseases such as
diabetes or kidney disease. Hypertension is called a "silent killer". Most people with hypertension are
unaware of the problem because it may have no warning signs or symptoms. For this reason, it is
essential that blood pressure is measured regularly. When symptoms do occur, they can include early
morning headaches, nosebleeds, irregular heart rhythms, vision changes, and buzzing in the ears. Severe
hypertension can cause fatigue, nausea, vomiting, confusion, anxiety, chest pain, and muscle tremors.
The only way to detect hypertension is to have a health professional measure blood pressure. Having
blood pressure measured is quick and painless. Individuals can also measure their own blood pressure
using automated devices, however, an evaluation by a health professional is important for assessment
of risk and associated conditions.
ACTIVITY 2&3.

MEDICAL FREQUENCY INTENSITY TIME TYPE PROGRESSION


CONDITIONS
1ST WEEK
HYPERTENSION 3-7 days per Moderate 30-45 Aerobic 1
week 64-76% mins. Activity
HRmax

RED FLAGS OR -Antihypertensive medications such as beta-blockers and diuretics impair


SPECIAL the ability to regulate body temperature during exercise in hot or humid
CONSIDERATIONS environments.

- Antihypertensive agents such as alpha blockers, calcium channel


blockers and vasodilators may provoke hypotensive episodes after abrupt
cessation of activity. Hence extending the cooldown period is generally
recommended.
- Many persons with HTN are overweight or obese. Therefore, an exercise
program that emphasizes a daily caloric expenditure of more than 300
kcal, coupled with reductions in energy intake, should be recommended.
- Patient education regarding the importance of regular exercise for BP
control and management may increase exercise adherence. Anecdotal
evidence suggests knowledge of the immediate BP lowering effects of
exercise may promote exercise adherence.

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