Question

-VIRIS PUNTSU 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. In your small groups, cover the following questions: 1. Marcus tells the nurse, "I don't feel any different with my blood pressure being higher, do I really need medication now?" How should the nurse respond? 2. Discuss nonpharmacologic treatment of hypertension and patient teaching needs. 3. What initial two drugs will be prescribed for him and what patient teaching should the nurse provide? 4. 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? 5. What should the nurse include in teaching Marcus in order to minimize adverse effects of the captopril? 6. 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? Case Study 2 A patient with pneumonia is admitted to the intensive care unit with a diagnosis of septic shock. She is confused. Her extremities are cool to touch. A central line catheter is inserted. The patient's blood pressure is 76/40 with a heart rate of 100 beats/min. 1. What pharmacological treatment will the nurse expect to administer first? What assessment findings would indicate that the treatment is effective? 2. The patient's blood pressure has increased to 78750. What medication does the nurse anticipate to be ordered now? What assessment findings would indicate that the treatment is effective? 3. Three hours later, the patient's blood pressure is 76/50 with a heart rate of 88 beats/min. The patient has now had the diagnosis of myocardial infarction confirmed. The nurse receives an order to start a dopamine infusion at 12 mcg/kg/min. Why was this medication added? What are the adverse effects of this medication?

Answer 1

Answer: The nurse should explain the patient that people those who have diabetes, they experience hypotension Or the low systolic pressure. This also experienced when the patient suddenly stand up while sitting. Due to the dehydration as well as increased urination the blood pressure goes low so on this case medication is necessary.