Question

Marcus is a 44-year-old African-American man who has been seen twice in a health care clinic for “blood pressure” problems. At the first visit, his blood pressure was 144/90 mm Hg; at the second visit, his blood pressure was 154/96 mm Hg. The provider is preparing to start antihypertensive medications.

1. Two years later Marcus is diagnosed with Type 2 diabetes. His blood pressure is 130/86 mm Hg on his current medications. Marcus is now prescribed captopril. Marcus states that he does not understand why he needs an additional medication considering his blood pressure is below 140 mm Hg systolic. How should the nurse respond?
2. What should the nurse include in teaching Marcus in order to minimize adverse effects of the captopril?
3. The American Heart Association estimates that one out of three adults have hypertension. In the African American population the number goes up to 40%. If diagnosed, many patients are not effectively treated. Why do you think hypertension is such a difficult disease to treat?

Answer 1

# Nuase will inform Morves that in Patient with diabetes there is risk of geveloping hypertension as iniveesed blood sugor in diabetes damage blood wessels & kidney which flog an important role in blood pressure regulation & Polient education for ceptopsit :- ? he should take medicine at sane time without doubling the close in case beist dosel is missed. He should avoid selt substhites by foods' with high level of sodulm or botasliem. He should change position slowly to avoid orthostatic hypoteksion The should avoid driving and other attention levering activities : - He should monitof blood sugar level Scanned with CamScanner

regularly as it may cause hypoglycenie 3) Hypertension is diffruct to treat because of following reasons : foor batent compliance to theepment Inadequate orl meppropriate comberation of Bi lowering drugs. is Alcohol drinking cs Scanned with --EarSCATTTET