Normal value- <120/ <80 pre htn, 120-139/80-89 stage 1 --140-159/90-99 stage 2 <160/>100 The higher the BP the greater the risk for coronary, renal and peripheral vascular disease Most common is Essential. When BP is left elevated for along period, it causes damages to vital organs in the system by causing thickening of the arterioles and decreased perfusion. When this happens, it may result in mycoradial infracture, stroke, pvd or renal failure. HTN caused by specific disease is termed secondary HTN. Systolic is a better indicator of risk for heart disease or stroke and always elevated in older patient than the diastolic.diastoli rises until age 55 and it slows but systolic is always on the rise. Isoloated systolic hypertention is the most common in older pt. Malignant is severe elevetade BP that rapidly progreses. Syptoms are Headache in the morning bluured vision and dyspnea. Pts are in 30,40,50 wt systolic of 200 and diastoli of more than 150. Pt in this condition can experiens renal failure, left ventricukar failure or stroke. Physical assessment Life style change is the fundamental for HTN Control. Before drugs. Emergency care for HTN Pt with urgency or crises Sls, severe headache, extreme BP SOB, severe anxiety. Intervention Place in semi fowler, then give oxygen, start iv Nitro press, nicardipine, observe for numbness, tingling extremeties.dysrythmia or chest pain.