The treatment plan was to continue the ARB and reevaluate the patient in 1 month. Common side effects include hyperkalemia, nausea, headache, rash and gynecomastia.
Lose weight which will aid in blood pressure control. An undiagnosed secondary cause of hypertension should be considered when resistant hypertension Hypertension case study nursing present.
New England Journal of Medicine. Compelling Indications As part of the workup of hypertension, it is important to determine other co-morbidities in the individual with hypertension because they can influence which medications to use. For example, those with heart failure and systolic hypertension will see in improvement in not only their blood pressure but their heart failure with the addition of an ACE-I.
Retrieved June 1, from Medscape. She could not recall the names of the medications. He walks approximately 2 mile, times a week and eats a diet that contains a reasonable amount of fruits and vegetables, but does not cook and eats a lot of processed and frozen food.
Center for Disease Control. Effects of dietary approaches to stop hypertension DASH -style diet on fatal or nonfatal cardiovascular diseases-incidence: These may include alcohol, cocaine, nicotine, amphetamines and Hypertension case study nursing prescription drugs including oral contraception, antidepressants and nonsteroidal anti-inflammatory drugs.
Serum electrolyte laboratory values were within normal limits, and the physical assessment remained unchanged. He was diagnosed with hypertension two and a half years ago. Medical Management The patient is currently on three medications to manage his hypertension and his blood pressure is still not controlled.
Common side effect with ACE-Is include: With the increasing numbers of older adults, it is important to understand how to treat blood pressure in the elderly.
A current list of medications include: Assure that the diet contains adequate amounts of potassium, calcium and magnesium. Eliminating or limiting alcohol intake will likely reduce the risk of hypertension.
The next section will briefly touch on a few of them. In general, beta blockers may cause bronchospasm and should be used cautiously in those with reactive airway disease, but nonselective agents such as nadolol Corgard and propranolol Inderal are more likely to cause bronchospasm.
The role of hypertension as a risk factor for cardiovascular morbidity and mortality is well established. Common drugs in this class include: He had a stent placed in his left anterior descending artery four years ago.
Beta blockers are often used in those with atherosclerotic heart disease, prior myocardial infarction and compensated heart failure. Drugs in this class include hydralazine Apresoline and minoxidil Rogaine, Loniten.
Continue to eat fresh fruits and vegetables and to reduce the amount of processed and frozen food due to its high sodium content. The lifestyle interventions will help, but will not likely get the patient to goal. Compelling indications for CCBs include: The purpose of the medical care and treatment is to reduce the blood pressure and make close to the general norm.
Thiazide diuretics and dihydropyridine CCB should be strongly considered as first line agents in this population. A recent study which used a thiazide diuretic and an ACE-I in the treatment of older adults mean age of They can also be used as first line therapy for isolated systolic hypertension the dihydropyridine class in the elderly and in black patients.
This course is applicable for the following professions: Eating a diet high in salt Renal insufficiency Inadequate dose of a diuretic Case Study 2 A 64 year-old black male is being evaluated for resistant hypertension.
A patient not taking the medications as prescribed is another common cause of resistant hypertension. Thiazide diuretics and dihydropyridine CCB should be strongly considered as first line agents in this population.
Hypertension: Case Study: A Practice Process Part 2 of 2 Lisa Tobias, Practice Administrator Swanee Kooistra, RN, Hybrid Care Case Study: Plan of Care knowledge of appropriate foods for diabetes and hypertension. Nursing Case Study.
Hypertensive Urgency. CASE STUDY Bronchial Asthma. ncp for hypertension. Documents Similar To Case Study Hypertension. Pathophysilogy of Primary Hypertension.
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Case Study - Hypertension. Uploaded by. Nurul Halilah. hypertensive urgency.4/4(8). Hypertension: Case Study: A Practice Process Part 2 of 2 Lisa Tobias, Practice Administrator Swanee Kooistra, RN, Hybrid Care Case Study: Plan of Care knowledge of appropriate foods for diabetes and hypertension.
Hypertension Case Study. What are some common nursing diagnoses for patients with HTN? ( points) “Knowledge Deficit Related to lack of information about the. We chose hypertension as a case study topic because regardless of career trajectory, every nurse practitioner will treat patients who display symptoms or have.
Nursing Case Study I. ASSESSMENT 1. Description of client The patient I am using for my nursing case study is a 53 year old white female. She weighs pounds and her height is 67” tall.5/5(1).Hypertension case study nursing