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Case study on hypertension - PRIME Clinical Case Study To BP or not to BP- Hypertension Control via Web Communication and Pharmacist Monitoring


INTRODUCTION This case study will serve as a root to improve provision of quality nursing care to patients affected with this condition. DISCHARGE PLANS Upon discharge, the patient was given some important health reminders regarding his condition. Six months following this program, he continued to have normal blood pressure on herbal preparations but no medications and was able to eat as much salt as he liked. This increase in BP results from because of unopposed alpha stimulation in hypertensive patients taking blocking drugs. The case study describes how Flo was used to monitor the patient s blood pressure whilst at home, with request to contact the hospital immediately if the patient s systolic BP reached 150. Medical Disease and Differential Diagnosis Define hypertension and classify its severity. The acupuncture points used in the study were LI4, LI11, ST36, ST9. products Ca, mango K, tomatoes K, tomatoes K, leafy green vegetables Ca and K, fish K. Recognition of Diet Drug Interaction Recognition of Diet Drug Interaction High intakes of salt in the diet increases the excretion of Potassium while taking can lead to development of hypokalemia High intakes of Caffeine while taking can lead to a strong diuretic effect on the body thereby leading to dehydration Untreated dehydration can lead to heart injury, cerebral edema, kidney failure, hypovolemic shock and even death. end columns General references Joint Formulary Committee 2008 British National Formulary 55.

Large vessels such as the aorta may be directly affected and be at risk for aneurysms and dissection. Barash PG, Cullen BF, Stoelting RK, Clinical anesthesia4th ed. Autoregulation of cerebral blood flow in hypertension patients. Simultaneous administration of fentanyl 7 to 8 g kg with the induction dose of thiopental can blunt the cardiovascular response to tracheal intubation. However, whether preoperative hypertension is predictive of perioperative major cardiac morbidity remains controversial.


If time permits, the BP should be lowered over 6 to 8 weeks to 140 90 mm Hg. frequency questionnaire 80 To provide a low sodium and 24-hr recall. To BP or not to BP- Hypertension Control via Web Communication and Pharmacist Monitoring Posted on 10 01 08 JJ is a 70 year old patient with hypertension HTN and To determine the ordered drugs and associate its action or affects the patient. The patient s diet is high in sodium, fat, and carbohydrates. Register today for full access to articles and daily updates on the issues that matter to you.


In the Heart Outcomes Prevention Evaluation HOPE trial, ACE inhibitors were found to have a favorable effect in reducing cardiovascular morbidity and mortality, whereas recent trials have shown a renal protective benefit from both ACE inhibitors and ARBs. PIH is classified as gestational hypertension, mild preeclampsia, severe preeclampsia and eclampsia, depending on how far development advances. From April to June the average BP was 140 145 mm Hg systolic and 80 90 mm Hg diastolic. To be able to identify patient s lifestyle and diet during their service.

The patient has certain lifestyle choices, which makes him susceptible to hypertension. 3-fold in the pharmacist care group compared to the usual care group and by 1. products Ca, mango K, tomatoes K, tomatoes K, leafy green vegetables Ca and K, fish K.


Hypertensive on the other hand, is a severe elevation in blood pressure without progressive target organ dysfunction. Rationale Excessive alcohol intake is st See his healthcare provider within the next week for a BP rech While often there are no symptoms, high blood pressure does ca Please sit here quietly for a few minutes.


Revise the potential causes of secondary hypertension and present a summary to colleagues in a clinical practice meeting. He was quite healthy and up until that point had no concerns so really couldn t believe it. Hematocrit was 38 serum sodium, 140 mEq L and serum potassium, 2. He had learnt new information about ACE inhibitors but the learning had not been planned. Section 3 Managing the condition Patients with severe hypertension clinic reading 180 110mmHg, those with confirmed stage II hypertension on ABPM and those less than 80 years with stage i hypertension and target organ damage established cardiovascular disease renal diabetes mellitus or a 10-year risk 20 should be treated. prezi li div id prezi oid class prezi clearfix div class thumbnail a href oid img width 189 height 112 src preview alt div class play div a div div class details h4 a href oid title a h4 p cite Elonahlyn Akmadol cite on time datetime date date time p blockquote p description p blockquote div div class shadow div div li! 75 ng ml at 4 hours after onset and other cardiac enzymes were also raised significantly.


Her family history is positive for hypertension, with her mother dying at 56 years of age from cardiovascular disease CVD. Hypertensive patients were then managed to the evidence-based NICE blood pressure targets for specific diseases such as diabetes, not just to the previous QOF target of 150 90mmHg. Nutrition Care PlanProblem Goal Strategies Monitoring and mineral To increase consumption To provide a diet rich in Food Potassium K of foods rich in K and Ca. Pharma Mirror believes in cutting-edge peer reviewed contents over the pharma arena. Her cardiac status was evaluated by which demonstrated an elevated LV mass index of 82 g m2 95th percentile.


0-Hour Online CME Intended Audience Physicians, Psychologists, Nurse Practitioners, Physicians Assistants, Pharmacists, Nurses, and Case Managers Posted on 7 01 13 Posted on 6 01 13 Posted on 4 01 13 Posted on 3 01 13 Posted on 2 01 13 Posted on 1 02 13 Posted on 12 01 12 Posted on 11 01 12 Posted on 10 01 12 Posted on 8 01 12 Posted on 7 01 12 Posted on 6 01 12 Posted on 5 01 12 Posted on 4 01 12 Posted on 3 01 12 Posted on 2 01 12 Posted on 1 01 12 Posted on 11 01 11 Posted on 10 15 11 Posted on 9 01 11 Posted on 8 01 11 Posted on 7 01 11 Posted on 5 01 11 Posted on 4 01 11 Posted on 3 01 11 Posted on 2 01 11 Posted on 1 01 11 Posted on 10 01 10 Posted on 9 01 10 Posted on 8 01 10 Posted on 7 01 10 Posted on 5 01 10 Posted on 3 01 10 Posted on 2 01 10 Posted on 12 01 09 Posted on 11 01 09 Posted on 10 01 09 Posted on 9 01 09 Posted on 7 01 09 Posted on 6 01 09 Posted on 5 01 09 Posted on 4 01 09 Posted on 2 01 09 Posted on 1 02 09 Posted on 11 03 08 Posted on 10 01 08 Posted on 9 01 08 Posted on 8 01 08 Posted on 7 01 08 Posted on 6 01 08 Posted on 5 05 08 Posted on 4 09 08 Posted on 3 01 08 Posted on 2 01 08 Posted on 1 02 08 Posted on 12 05 07 Posted on 11 01 07 Posted on 10 03 07 Posted on 9 03 07 Posted on 8 01 07 Posted on 8 01 07 Posted on 7 01 07 Posted on 7 01 07 Posted on 6 13 07 Posted on 6 04 07 Posted on 5 01 07 Posted on 4 04 07 Posted on 3 03 07 Posted on 3 03 07 Posted on 3 03 07 Posted on 3 03 07 Posted on 2 28 07 Posted on 8 02 06 Posted on 7 01 06 Posted on 5 24 06 Posted on 3 06 06 Posted on 2 01 06 Posted on 1 15 06 Posted on 1 02 06 Posted on 12 07 05 Posted on 10 31 05 Posted on 9 29 05 Posted on 9 14 05 Posted on 9 10 05 Posted on 8 25 05 Posted on 8 21 05 Posted on 8 01 05 Posted on 7 05 05 Posted on 7 01 05 Posted on 6 06 05 Posted on 4 17 05 Posted on 4 17 05 Posted on 3 23 05 Posted on 3 03 05 Posted on 2 28 05 Posted on 2 14 05 Posted on 1 17 05 Posted on 12 22 04 Posted on 12 22 04 Posted on 12 22 04 Posted on 12 01 04 Posted on 10 11 04 Posted on 10 05 04 Posted on 9 21 04 Posted on 9 15 04 Posted on 8 24 04 Posted on 7 07 04 Posted on 4 27 04 Posted on 4 27 04 Posted on 4 27 04 Posted on 4 26 04 Posted on 2 26 04 Posted on 2 08 04 Posted on 1 22 04 Posted on 1 04 04 Posted on 12 14 03 Posted on 9 09 03 Posted on 9 04 03 Posted on 9 04 03 29.


In young people or those with resistant hypertension, renal ultrasound with Doppler of renal arteries can identify renal artery stenosis, although renal arterial angioplasty does not reliably lead to better BP control or preservation of renal function. Frontal lobe dysfunction following cardiac surgery is associated with cerebral oxygen desaturation. The prevalence increases with age such that more than half of all people older than 65 years have a BP of 140 90mmHg. Week or blood pressure, please visit our media pages Could you share your story?

yet despite these daunting statistics, many patients remain inadequately treated or controlled.


T man for his age with no existing diagnosed medical conditions. The guidelines are instead selecting patients assumed to be at highest risk. He should come to the hospital immediately if GTN fails to relieve his symptoms. He became much more conscious of his diet, which had a knock-on effect in terms of his shopping habits I started to take my glasses with me on shopping trips so that I could look for and avoid labels that which showed high amounts of fat, sugar and salt.

Results ECG on admission 2 hours after onset shows sinus rhythm with ST depression at leads I, aVL, V3- V6 with left axis deviation. UPLOADED BY PAGES 7 RATINGS 86 7 6 out of 7 people found this document helpful This preview shows pages 1 3. Physical examination reveals an obese woman with a BP of 154 86 mmHg and a pulse of 78 bpm.

A narcotic may not control the rise in BP, and it may be necessary to switch to a potent inhalation anesthetic. Improper balanced diet could cause lots of complications like hepatitis, diabetes, urinary tract infection and most commonly hypertension.

These contradictory findings may be explained by different factors influencing the results of 24 h ABPM. Physiological changes associated with de qi during to LI4 and LI11 a randomized, placebo controlled trial. Section 3 Managing the condition Patients with severe hypertension clinic reading 180 110mmHg, those with confirmed stage II hypertension on ABPM and those less than 80 years with stage i hypertension and target organ damage established cardiovascular disease renal diabetes mellitus or a 10-year risk 20 should be treated. Resistant hypertension and preoperative silent myocardial ischaemia in surgical patients. Before induction of anesthesia, I would like to hydrate the patient with at least 200 mL of lactated Ringer s solution. SKIN No significant findings HEAD HAIR No significant findings NAILS No significant findings EYES No significant findings EARS No significant findings NOSE No significant findings MOUTH THROAT ORAL CAVITY No significant findings NECK No significant findings ABDOMEN Flat, soft, no significant findings EXTREMITIES weakness of the upper extremities No significant findings GENITO- URINARY H.


Would you employ a controlled hypotensive technique for hypertensive patients? Nutrition and proper balanced diet plays an important role in this case.


Isoflurane, desflurane, and sevoflurane possess the advantage of more peripheral vasodilation and less cardiac depression. His father had hypertension and passed away a long time ago due to unknown causes.


When he first presented to the ER, his blood pressure was 262 160.


5 mEq L should not prompt postponement of surgery or immediate potassium replacement.

Furthermore, in patients with severe triple vessel disease, CABG has been shown to improve 5-year survival rate when compared to angioplasty of medical management 12.


I need to recheck y Please sit here quietly for a few minutes. values laboratory values to saturated fat and reach normal range. PHYSICAL ASSESSMENT GENERAL SURVEY Conscious, coherent, oriented Vital signs Blood pressure 170 120 mmHg Cardiac rate 73bpm Respiratory rate 17bpm Temperature 36.

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