Question

A 5’6’, 300 lb., 64-year old male business executive went to the doctor for a physical examination. He smokes and drinks five martinis every night to relax from the stress of his job and his diet consists of foods that are high in salt and saturated fat because he travels a lot for his job and constantly eating burgers, fried chicken, pizza and pretty much anything that is unhealthy. His blood pressure was >180/115 on three separate days. His last blood panel should total cholesterol level of 298mg/dl, LDL 187mg/dl and HDL levels of 10mg/dL. Further examination showed low plasma renin activity, increased cardiac output and tachycardia. He also experiences swollen feet and ankles.

1. Why is it important to check his blood pressure on three spparate days ?

2. is he ezpericing edema? why?

3. which of the following hormones would play a role kn trying to regulate Sean's bloos pressure before he went to the doctor ? Also explain the correct answer and why the others are wrong

a. Antidiuretic Hormone

b. Angiotension II

c. Epinephrine

d. Artial natiuretic peptide

e. None of these hormones will try to regulate Sean's BP

4. Why would reducing his blood pressure to <140/90, be ideal?

5. which medication will work best for him?

a. diuretics

b.Beta Blockers

c. ACE inhibitors

d. Calcium channel blockers

Answer 1

1- it is important to check the blood pressure on three seperate days to avoid any kind of errors in taking bp and to get the accurate findings of bp.

2- yes , he is experiencing pitting edema because of the low renin plasma activity which results in water and sodium retention in his body.

3- d - atrial natriuretic peptipe

4- it is important to reduce the blood pressure back to the normal to relieve the symptoms which alter his daily life and reduce the risks of getting any cardiovascular and kidney disease.

5- diuretics will work best to relieve the edema.