AJ is a 50-year-old white male who presents for follow-up of his hypertension. AJ is not a diabetic and has normal renal function. He is adherent with a low-sodium diet, exercises 150 minutes weekly, and is taking his hydrochlorothiazide 25mg PO daily. His home blood pressure logs and the clinic reading reveal blood pressures in the range 150-160/90-100. The rest of his vitals including heart rate are normal, as is his examination. He has no known drug allergies. His only other medication is cetirizine 10mg PO daily for allergic rhinitis.
Ans) Recommendation for AJ's regimen to reach his goals:
• Systolic BP is the most important and difficult component in
virtually all patient types (most patients with hypertension will
reach DBP goal once systolic is controlled)
• Lifestyle modifications:
o Weight reduction (maintain normal weight, BMI: 18.5-24.9 kg/m2) →
Appx. SBP reduction 15-20 mmHg/10 kg weight loss
o DASH diet (dietary approaches to stop hypertension) → 8 -14
mmHg
o Physical activity (30 min/day, most days of the week) → 4-9
mmHg
o Decrease sodium intake (less than 2.4 g Na or 6 g NaCl) → 2-8
mmHg
o Moderate alcohol consumption (≤ 2 drink/day for men and ≤1
drink/day for women) → 2-4 mmHg
AJ is a 50-year-old white male who presents for follow-up of his hypertension. AJ is not...
AJ is a 50-year-old white male who presents for follow-up of his hypertension. AJ is not a diabetic and has normal renal function. He is adherent with a low-sodium diet, exercises 150 minutes weekly, and is taking his hydrochlorothiazide 25mg PO daily. His home blood pressure logs and the clinic reading reveal blood pressures in the range 150-160/90-100. The rest of his vitals including heart rate are normal, as is his examination. He has no known drug allergies. His only...
AR is a 46yo African-American male who presents to his doctor with excessive thirst, urination, and hunger for the past 2 months. Other past medical history includes obesity, hypertension, hyperlipidemia, and occasional tension headaches. He is a non-smoker and participates in minimal weekly cardiovascular activity. He is currently taking hydrochlorothiazide 25mg daily, atorvastatin 20mg QHS, acetaminophen 500mg daily PRN pain. Pt denies any drug allergies. His doctor draws fasting labs with the following results: Glucose 168, Scr 1.01, BUN 14,...
Hypertension Case Study: Rex Ryan, 86 year-old male, is diagnosed with CHF and hypertension. He is experiencing a significant headache. You are caring for him and are responsible for interpreting his medication orders and subsequent nursing implications. Here is Rex's current vitals and medications Vitals: HR: 58 BP: 200/95 RR: 18 SpO2: 94% Room Air Temp: 98.2 degrees F Medications: Lopressor (Metoprolol) 25 mg PO BID Hydrochlorothiazide 25 mg PO daily Lisinopril 20mg PO BID Lasix 40mg PO Daily What...
Renal Case Study: John Smith, 68 year-old male, is diagnosed with heart failure. He is also an asthmatic and diabetic. He is usually on 2 liters of oxygen, but is now requiring 6 liters of oxygen by nasal cannula. John is experiencing significant dyspnea upon exertion. You are caring for him and are responsible for interpreting his medication orders and subsequent nursing implications. Here are John's current vitals and medications: Vitals: HR: 58 BP: 168/90 RR: 24 . SpO2: 90%,...
Renal Case Study: John Smith, 68 year-old male, is diagnosed with heart failure. He is also an asti usually on 2 liters of oxygen, but is now requiring 6 liters of oxygen by experiencing significant dyspnea upon exertion. You are caring for him and interpreting his medication orders and subsequent nursing implications. he and medications: He is also an asthmatic and diabetic. He is of oxygen by nasal cannula. John is for him and are responsible for implications. Here are...
AR is a 46yo African-American male who presents to his doctor with excessive thirst, urination, and hunger for the past 2 months. Other past medical history includes obesity, hypertension, hyperlipidemia, and occasional tension headaches. He is a non-smoker and participates in minimal weekly cardiovascular activity. He is currently taking hydrochlorothiazide 25mg daily, atorvastatin 20mg QHS, acetaminophen 500mg daily PRN pain. Pt denies any drug allergies. His doctor draws fasting labs with the following results: Glucose 168, Scr 1.01, BUN 14,...
A 50 year old African American male is ordered Prazosin (minipress) for hypertension. Another medication he is currently taking is HCTZ 25mg daily. He tells you he is also taking saw palmetto for his prostate. His BP is 182/90 and HR is 82. What classification is Prazosin? Explain action, side effects and nursing considerations. What will your teaching plan be for this patient? What are two relevant nursing diagnoses and goals for him? How will you determine the medication regimen...
A 50 year old African American male is ordered Prazosin (minipress) for hypertension. Another medication he is currently taking is HCTZ 25mg daily. He tells you he is also taking saw palmetto for his prostate. His BP is 182/90 and HR is 82. What classification is Prazosin? Explain action, side effects and nursing considerations. What will your teaching plan be for this patient? What are two relevant nursing diagnoses and goals for him? How will you determine the medication regimen...
AR is a 46yo African-American male who presents to his doctor with excessive thirst, urination, and hunger for the past 2 months. Other past medical history includes obesity, hypertension, hyperlipidemia, and occasional tension headaches. He is a non-smoker and participates in minimal weekly cardiovascular activity. He is currently taking hydrochlorothiazide 25mg daily, atorvastatin 20mg QHS, acetaminophen 500mg daily PRN pain. Pt denies any drug allergies. His doctor draws fasting labs with the following results: Glucose 168, Scr 1.01, BUN 14,...
A 50 year old male patient presented to the emergency department at 2AM with vomiting and abdominal pain. He had a 2 week history of polyuria and polydipsia, accompanied by a 20 pound weight loss and blurred vision. His medical history was unremarkable, except for being treated with hypertension with lisinopril 40 mg daily, which provided good control. His blood pressure on admission was 135/80. He is a smoker and smokes ½ pack of cigarettes per day. Results of hospital...