Reference no: EM133229090
Jack is a 65-year-old African-American female who has been monitoring her blood pressure at home. She brings a log of home readings with the following ranges: 150-222/102-88. Her blood pressure in the office today is 160/92. She has her BP monitor with her and the reading on the monitor is similar to today's office reading. She states that she has swelling in both ankles at night, but the swelling usually resolves overnight. She wears compression hose at work as she is on her feet for most of her 10-hour shift. She has no comorbid conditions at present. Her mother and sister have hypertension and encouraged Lorraine to seek care.
What lifestyle modifications are important to teach her?
Name 5 classifications of antihypertensives that can be used for her treatment?
The goal for antihypertensive therapy without comorbid conditions is BP readings of:
If monotherapy does not work, why does using two or more anti-hypertension medications have an increased opportunity for success:
Case Study 2
Jacky is a 75-year-old white male with a history of CHF, COPD. He presents to the ED with a heart rate of 140 and a 12 lead EKG revealing atrial fibrillation. On physical exam he reveals +3 pitting edema and fine bibasilar crackles. Lab: Na 135; K+ 3.4; BUN and creatinine unremarkable.
What are 2 main medication classifications that will be necessary to treat his CHF?
What is the significance of knowing what his K+ level is?
He will need to be started on anticoagulants for hisatrial fib. What are 2 examples of oral anticoagulants and which do you think is the best option and why.
An anti-dysthymic mediation must be ordered to decrease his heart rate. What are the 4 classifications of Anti-dysrhythmics AND of those, which 2 would the CNP consider prescribing and why?