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Did You Know: These Medications Can Cause or Worsen Hypertension and Are Sometime Overlooked?
Hypertension (HTN) is a leading risk factor for cardiovascular conditions (eg, stroke, myocardial infarction, sudden death, heart failure) and kidney disease.1,2 However, the exact etiology of HTN is unknown. Primary HTN accounts for ∼90% of cases. The remaining 10% of cases have a secondary cause, which can vary with age and include multiple etiologies, some reversible. For example, common secondary causes of HTN include kidney disease, primary hyperaldosteronism, obstructive sleep apnea, atherosclerotic renal artery stenosis , pregnancy, and/or drug and substance use.
Source: The Journal for Nurse Practitioners - March 6, 2023 Category: Nursing Authors: Timothy Nguyen Tags: Prescription Pad Source Type: research

Preeclampsia and future stroke risk in women: What NPs need to know
Abstract: Preeclampsia is a complication of pregnancy that affects approximately 4% of pregnancies. Preeclampsia is defined as new-onset hypertension after 20 weeks gestation often accompanied by new-onset proteinuria. Women who experience preeclampsia during pregnancy are at an increased risk for hypertension and stroke later in life. Healthcare providers should screen women appropriately to minimize risk.
Source: The Nurse Practitioner - March 20, 2019 Category: Nursing Tags: Feature: WOMEN'S HEALTH: DNP SPECIAL ISSUE Source Type: research

Stroke Risk Factors Unique to Women
According to this study: Optimal stroke prevention strategies for women should take into account risk factors specific to women, including endogenous hormone levels, exogenous hormone therapy, and pregnancy-related complications.
Source: AJN - April 26, 2018 Category: Nursing Tags: Journal Watch Source Type: research

EBN resources page
SIGN Apps for iPhone and iPad http://itunes.com/apps/signguidelines, https://play.google.com/store/apps/details?id=com.rootcreative.sign The SIGN app has recently been updated and now contains quick reference guides (QRGs) for:SIGN 136 Management of chronic pain SIGN 135 Management of epithelial ovarian cancer SIGN 134 Treatment of primary breast cancer SIGN 133 Management of hepatitis C The SIGN app has also had a complete re-design and now features:Optimisation for the latest operating systems Re-designed for improved legibility Send pdf button feature Split screen feature (ipad) Prevention of stroke in patients with atr...
Source: Evidence-Based Nursing - June 17, 2014 Category: Nursing Tags: Liver disease, General practice / family medicine, Hepatitis and other GI infections, Drugs: cardiovascular system, Pain (neurology), Stroke, Diet, Pregnancy, Reproductive medicine, Breast cancer, Gynecological cancer, Lung cancer (oncology), Radiotherapy Source Type: research

Late pregnancy use of selective serotonin reuptake inhibitors and serotonin and norepinephrine reuptake inhibitors is associated with increased risk of postpartum haemorrhage
Commentary on: Palmsten K, Hernández-Díaz S, Huybrechts KF, et al.. Use of antidepressants near delivery and risk of postpartum hemorrhage: cohort study of low income women in the USA. BMJ 2013;347:f4877. Implications for research and practice Use of antidepressant medication is associated with increased risk for postpartum haemorrhage (PPH). Further research is needed to establish a causal role between antidepressant medication use and PPH. Clinicians should be aware of possible increased risk of postpartum haemorrhage when treating depression during pregnancy. Context Antidepressant medications are commonly...
Source: Evidence-Based Nursing - June 17, 2014 Category: Nursing Authors: Ananth, C. V., Friedman, A. M. Tags: GI bleeding, Health policy, Midwifery, Drugs: CNS (not psychiatric), Stroke, Obesity (nutrition), Pregnancy, Reproductive medicine, Child and adolescent psychiatry (paedatrics), Child health, Anxiety disorders (including OCD and PTSD), Child and adolescen Source Type: research

Excess weight gain in the first 18 months of life is associated with later childhood overweight, obesity and greater arterial wall thickness
Commentary on: Skilton MR, Marks GB, Ayer JG, et al.. Weight gain in infancy and vascular risk factors in later childhood. Pediatrics 2013;131:e1821–8. Implications for practice and research The association between early postnatal weight gain and later childhood obesity suggests that programmes providing culturally tailored, universal, affordable or free support to families of newborns and infants are essential. Nursing care should emphasise the importance of optimal, rather than maximal, infant growth. Nursing research, in particular qualitative methods, could strengthen understanding of infant feeding practices and...
Source: Evidence-Based Nursing - June 17, 2014 Category: Nursing Authors: Stettler, N., Baumann, M. Tags: Child health, Immunology (including allergy), Drugs: cardiovascular system, Stroke, Childhood nutrition, Diet, Obesity (nutrition), Pregnancy, Ischaemic heart disease, Childhood nutrition (paediatrics), Child health, Infant health, Infant nutrition (inclu Source Type: research

Vascular Complications in Maternal Care
According to the Centers for Disease Control and Prevention, heart disease and stroke are 2 of the 3 leading causes of death in women across the lifetime. Most women do not expect to experience heart disease or stroke during pregnancy. However, in a recent study in California, the American Heart Association (AHA) reported heart disease as the number 1 cause of pregnancy-related mortality.
Source: The Journal for Nurse Practitioners - March 20, 2014 Category: Nursing Authors: Deedra H. Harrington, Laurie Kinchen Tags: Diagnostic Tips Source Type: research

EBN resources page
Drug and Therapeutics Bulletin (DTB) April, May, June 2013 issues http://dtb.bmj.com HbA1c targets in type 2 diabetes: guidelines and evidence Aims of treatment for type-2 diabetes include minimising long-term complications (eg, cardiovascular disease, blindness, chronic kidney disease, premature mortality) and avoiding the unwanted effects of treatment (eg, severe hypoglycaemia, weight gain). Publication of the UK Prospective Diabetes Study (UKPDS) 33 in 1998 suggested that ‘intensive blood glucose control’ to lower the glycated haemoglobin (HbA1c) in people with type 2 diabetes reduced microvascular disease b...
Source: Evidence-Based Nursing - December 10, 2013 Category: Nursing Authors: Noble, E. b. H. Tags: Diarrhoea, Immunology (including allergy), Drugs: infectious diseases, Urinary tract infections, Stroke, Hypertension, Obesity (nutrition), Cervical cancer, Pregnancy, Reproductive medicine, Colon cancer, Gynecological cancer, Ophthalmology, Complementary Source Type: research

In men and women with COPD the presence of urinary incontinence is associated with poorer quality of life
Commentary on: Hrisanfow E, Hägglund D. Impact of cough and urinary incontinence on quality of life in women and men with chronic obstructive pulmonary disease. J Clin Nurs 2013;22:97–105. Implications for practice and research The combination of coughing, as a result of chronic obstructive pulmonary disease (COPD), and urinary incontinence (UI), can adversely affect quality of life. Healthcare providers must actively screen for UI in patients who smoke, have a chronic cough and/or who are diagnosed with COPD, as early treatment may improve quality of life. Context It is estimated that worldwide, over 200 milli...
Source: Evidence-Based Nursing - December 10, 2013 Category: Nursing Authors: Newman, D. K. Tags: Primary health care, Stroke, Incontinence, Pregnancy, Reproductive medicine, Health education, Smoking, Tobacco use Primary healthcare Source Type: research