This is a case study on a patient with hypertension. The case study will include the patient’s medical history, current medications, and physical examination.
CASE STUDY
Ms. Jackson is a 56-year-old African American woman who comes to the clinic for a follow-up visit after being diagnosed with hypertension. Her BP today is 156/98 mmHg. Ms. Jackson is generally healthy, with the exception of hypertension and the related medication side effects. She currently takes hydrochlorothiazide (HCTZ) 25 mg daily.
Medical History
-Hypertension
-Medication side effects
-Hypothyroidism
-Depression
-Type 2 diabetes
Medications
-Hydrochlorothiazide (HCTZ) 25 mg daily
-Metformin 1000 mg twice daily
-Levothyroxine 75 mcg daily
-Sertraline 100 mg daily
Objectives
-Reduce Ms. Jackson’s BP to less than 140/90 mmHg
-Reduce Ms. Jackson’s risk for stroke
-Reduce Ms. Jackson’s risk for heart disease
-Increase Ms. Jackson’s medication adherence
-Improve Ms. Jackson’s quality of life
Table of Contents
What significant risk factors for hypertension does the student nurse identify?
There are a few risk factors for high blood pressure, or hypertension. These include being overweight or obese, having too much salt in your diet, not being physically active, and drinking too much alcohol. If you have any of these risk factors, it’s important to take steps to lower your blood pressure and reduce your risk of developing hypertension.
The nurse should also perform the following interventions prior to sending George to the OR:
-Begin continuous cardiac monitoring
-Check blood pressure every 2 hours
-Insert a second large bore angiocath if one does not exist
How do you live with chronic hypertension
If you’re looking to lose extra pounds and improve your overall health, these tips are a great place to start. Regular exercise, eating a healthy diet, and reducing stress are all important factors in maintaining a healthy lifestyle. Additionally, limiting salt and alcohol intake, and quitting smoking, can help to further improve your blood pressure and overall health. Getting a good night’s sleep is also important in helping to reduce stress and promote a healthy lifestyle.
The PN should advise Johnny that, based on his family history, the HCP may want to do further testing for abdominal aortic aneurysms. Studies have shown that there is a strong genetic predisposition for the development of this condition, so it is important to get checked out by a healthcare professional.
What are 5 key risk factors for hypertension?
Hypertension, also known as high blood pressure, is a condition in which the force of blood against artery walls is high enough that it may eventually lead to heart disease.
There are a number of risk factors for hypertension, including both modifiable and non-modifiable factors. Modifiable risk factors include unhealthy diets (excessive salt consumption, a diet high in saturated fat and trans fats, low intake of fruits and vegetables), physical inactivity, consumption of tobacco and alcohol, and being overweight or obese. Non-modifiable risk factors include age, family history, and race.
Making lifestyle changes, such as eating a healthier diet and becoming more physically active, can help to reduce the risk of developing hypertension.
When it comes to heart health, high blood pressure is one of the most important risk factors to be aware of. Hardening and thickening of the arteries can lead to a heart attack or stroke, so it’s important to keep your blood pressure under control. Other potential complications of high blood pressure include aneurysms, heart failure, kidney problems, eye problems, and metabolic syndrome. In addition, high blood pressure can also lead to changes in memory or understanding, and even dementia. If you’re concerned about your heart health, be sure to talk to your doctor about ways to keep your blood pressure under control.
What is the first drug of choice for hypertension?
There is some debate over which type of antihypertensive drug is best, but most experts agree that ACE inhibitors, calcium channel blockers, or thiazide diuretics are the best choices for most patients. Each of these types of drugs has its own advantages and disadvantages, so it is important to discuss the options with your doctor to decide which one is best for you.
If you are taking a diuretic and at least two other blood pressure medications but your blood pressure is still not going down, this is called resistant hypertension. In simple terms, this means that your high blood pressure is difficult to treat and may have an underlying secondary cause. If you have resistant hypertension, it is important to work with your healthcare team to identify the cause and find the best treatment approach.
Can you be fit and have high blood pressure
If you have high blood pressure, you can usually be more active quite safely. However, it is always a good idea to speak to your doctor or nurse before starting any new physical activity, just to be on the safe side.
I was wondering what to say to you in the oil fields, and I think that the best thing to say is “Let’s do something about that.” Be sure to inscribe Johnny’s initials when prompted, because you are the guy who saved my life. I also think that it would be funny if you said “Nah, fucked the up too,” in response to something. Lastly, I want to say “OK,” because you were a real dick in the beginning, but I forgive you.
What is Johnny’s reaction when the nurse tells him that his mother is at the hospital to see him?
Johnny’s reaction to his mother’s visit was negative. He rejected her visit and told the nurse he did not want to see his mother. This could be due to a number of factors, including Johnny feeling angry or resentful towards his mother, or feeling too sick or weak to handle a visit from her. Whatever the reason, it’s clear that Johnny is not ready or willing to see his mother at this time.
Johnny’s mother told him to show Merchant Lyte the silver cup she had given him in hopes that he would take care of Johnny if he ever ran out of options.
What are the 3 main causes of hypertension
Salt, smoking, and drinking too much coffee can lead to high blood pressure. Not eating enough fruits and vegetables and not doing enough exercise can also contribute to high blood pressure.
High blood pressure is a condition where the force of the blood against the artery walls is too high. This can happen for a variety of reasons, including an unhealthy lifestyle, certain health conditions, and genetics.
What most directly causes hypertension?
Overweight and obesity are risk factors for hypertension. People who are overweight or obese tend to have higher blood pressure than those who are not. In fact, excess weight may be responsible for up to 75% of all cases of hypertension. Losing even a small amount of weight can help to lower blood pressure.
If you are experiencing any of the above signs, it is important to seek medical attention as they may indicate high blood pressure. This condition can be serious and cause complications such as heart disease, stroke, or kidney failure if left untreated.
What are the 4 stages of hypertension
Hypertension, or high blood pressure, is a serious medical condition that can lead to a number of health complications if left untreated. The four stages of hypertension are:
1. Stage 1: Elevated blood pressure levels between 120-129/less than 80 mmHg.
2. Stage 2: Hypertension stage 2 is 140/90 mmHg or higher.
3. Hypertensive crisis: Higher than 180/120 or higher.
4. Refractory hypertension: Uncontrolled blood pressure despite treatment with multiple medications.
If you have been diagnosed with hypertension, it is important to work with your healthcare team to manage your condition and prevent it from progressing to the next stage.
A hypertensive crisis is a sudden increase in blood pressure that can lead to serious health complications. Symptoms of a hypertensive crisis may include anxiety, blurred vision, chest pain, confusion, nausea and vomiting, unresponsiveness, seizures, and severe headache. If you think you may be experiencing a hypertensive crisis, it is important to seek medical help immediately.
What are the most harmful blood pressure medications
The team of researchers found that people who took alpha-blockers or alpha-2 agonists had greater fluctuations in their blood pressure compared to those who took other types of blood pressure medication. They also found that these fluctuations were associated with an increased risk of death.
The study highlights the importance of choosing the right blood pressure medication for each individual. It also underscores the need to monitor patients closely to make sure their medication is working effectively and to ensure that their blood pressure remains stable.
There are two main classes of medications used to treat high blood pressure: ACE inhibitors and angiotensin receptor blockers (ARBs). Both of these classes of medications are recommended as “first-line” treatments for high blood pressure. ACE inhibitors work by blocking the action of an enzyme that is involved in the constriction of blood vessels. ARBs work by blocking the action of a protein that is involved in the constriction of blood vessels.
What is the safest high blood pressure medication
It is always best to check with your doctor before taking any medication, even over-the-counter drugs. That said, some safe medications to use for high blood pressure include methyldopa and potentially some diuretics and beta-blockers, such as labetalol. Again, it is always best to speak with your doctor before starting or stopping any medication.
If you have high blood pressure that isn’t responding to medication, your doctor may refer you to a hypertension specialist recognized by the American Society of Hypertension. These cases often require in-depth testing and highly tailored treatment.
Final Words
The client with hypertension will need to be monitored closely for signs and symptoms of target organ damage, such as LVH, stroke, and heart failure. The client will also need to be educated about lifestyle changes that can help to control hypertension, such as reducing salt intake, maintaining a healthy weight, and exercising regularly.
The HESI hypertension case study provides an in-depth look at how to manage this condition. It is important to work with your healthcare team to monitor your blood pressure and make lifestyle changes to improve your overall health.