Sydän ja verisuonisairauksien lääkehoito

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SYDÄN- JA VERISUONISAIRAUKSIEN LÄÄKEHOITO Kohonneen verenpaineen lääkehoito 28.05.10 Hannele Heikkinen-Hellsten

Kohonnut verenpaine eli hypertensio 28.05.10 Hannele Heikkinen-Hellsten

Vaatii aina hoitoa ja seurantaa Koska se kuormittaa verenkiertoelimistöä ja lisää sydän- ja verisuonitautien, esim. aivohalvausten ja sepelvaltimotaudin riskiä 28.05.10 Hannele Heikkinen-Hellsten

Sairastumisvaaraa lisäävät: ,[object Object],[object Object],[object Object],[object Object],[object Object],28.05.10 Hannele Heikkinen-Hellsten

Riskitekijät http://www.sydanliitto.fi/kaikki_sydamesta/alkoholi/fi_FI/alkoholi/ 28.05.10 Hannele Heikkinen-Hellsten

Kohonneen verenpaineen syntymekanismi epäselvä ,[object Object],[object Object],[object Object],[object Object],28.05.10 Hannele Heikkinen-Hellsten

Verenpaineen luokittelu aikuisilla 28.05.10 Hannele Heikkinen-Hellsten Verenpaineluokka Systolinen paine Diastolinen paine Ihanteellinen RR <120 mmHg <80 mmHg Normaali RR <130 <85 Tyydyttävä RR <130-139 <85-89 Kohonnut RR - lievästi 140-159 90-99 ,[object Object],[object Object],160-179 180 100-109 >110

Lääkehoitoa tarvitaan Toistetuissa mittauksissa RR pysyvästi kohonnut Lääkehoidon aloittamisajankohta riippuu RR-tasosta ja muista sydän- ja verisuonitautien vaaraa lisäävistä tekijöistä 28.05.10 Hannele Heikkinen-Hellsten

Lääkehoidon aloittamista puoltavat Kohonneen RR:n aiheuttamat kohde-elinvauriot: Esim. sepelvaltimotauti, aivoverenkiertohäiriöt tai sydämen vasemman kammion seinämän paksuuntuma eli hypertrofia sekä lähisukulaisilla havaitut sydän- ja verisuonisairaudet 28.05.10 Hannele Heikkinen-Hellsten

Käypähoito suositukset RR-taudin hoidosta ,[object Object],28.05.10 Hannele Heikkinen-Hellsten

TAVALLISIMMAT LÄÄKEAINERYHMÄT KOHONNEEN RR:N HOIDOSSA ,[object Object],[object Object],[object Object],[object Object],28.05.10 Hannele Heikkinen-Hellsten

Hoidon tavoitteena ,[object Object],[object Object],28.05.10 Hannele Heikkinen-Hellsten

DIUREETIT ELI NESTEENPOISTOLÄÄKKEET ,[object Object],[object Object],[object Object],[object Object],28.05.10 Hannele Heikkinen-Hellsten

Jatkuu diureeteista ,[object Object],[object Object],[object Object],[object Object],28.05.10 Hannele Heikkinen-Hellsten

TIATSIDITYYPPISET DIUREETIT ,[object Object],[object Object],28.05.10 Hannele Heikkinen-Hellsten

Diureetteja ei diabeetikoilla ,[object Object],[object Object],[object Object],[object Object],28.05.10 Hannele Heikkinen-Hellsten

Lyhytvaikutteinen diureetti eli furosemidi Furesis®, Vesix® Nesteenpoistovaikutus huomattavasti voimakkaampi Munuaisten vajaatoimintapotilailla -> tehokas virtsaneritys -> potilas kuivuu Pitkäaikaisessa käytössä kaliumin puute ja edellä mainitut aineenvaihduntahäiriöt kuten titsididiureeteilla 28.05.10 Hannele Heikkinen-Hellsten

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Sydän ja verisuonisairauksien lääkehoito

1. SYDÄN- JA VERISUONISAIRAUKSIEN LÄÄKEHOITO Kohonneen verenpaineen lääkehoito 28.05.10 Hannele Heikkinen-Hellsten

2. Kohonnut verenpaine eli hypertensio 28.05.10 Hannele Heikkinen-Hellsten

3. Vaatii aina hoitoa ja seurantaa Koska se kuormittaa verenkiertoelimistöä ja lisää sydän- ja verisuonitautien, esim. aivohalvausten ja sepelvaltimotaudin riskiä 28.05.10 Hannele Heikkinen-Hellsten

5. Riskitekijät http://www.sydanliitto.fi/kaikki_sydamesta/alkoholi/fi_FI/alkoholi/ 28.05.10 Hannele Heikkinen-Hellsten

8. Lääkehoitoa tarvitaan Toistetuissa mittauksissa RR pysyvästi kohonnut Lääkehoidon aloittamisajankohta riippuu RR-tasosta ja muista sydän- ja verisuonitautien vaaraa lisäävistä tekijöistä 28.05.10 Hannele Heikkinen-Hellsten

9. Lääkehoidon aloittamista puoltavat Kohonneen RR:n aiheuttamat kohde-elinvauriot: Esim. sepelvaltimotauti, aivoverenkiertohäiriöt tai sydämen vasemman kammion seinämän paksuuntuma eli hypertrofia sekä lähisukulaisilla havaitut sydän- ja verisuonisairaudet 28.05.10 Hannele Heikkinen-Hellsten

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19. Lyhytvaikutteinen diureetti eli furosemidi Furesis®, Vesix® Nesteenpoistovaikutus huomattavasti voimakkaampi Munuaisten vajaatoimintapotilailla -> tehokas virtsaneritys -> potilas kuivuu Pitkäaikaisessa käytössä kaliumin puute ja edellä mainitut aineenvaihduntahäiriöt kuten titsididiureeteilla 28.05.10 Hannele Heikkinen-Hellsten

Sydän ja verisuonisairauksien lääkehoito

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