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Bbp Case Studies

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Armstrong (2014) recommends to start medication treatment when systolic BP is 140 mm Hg or higher or diastolic pressure is 90 mm Hg or higher among patient younger than 60 years. I should have ordered fasting blood work because fasting blood glucose and accurate lipid level can be obtained (Weber et al., 2014). I agree with the order of CMP because it helps us know potassium level, glucose level, kidney function, and liver function. Also, monitoring potassium is important if patient is on ACE or ARBS. I should have ordered CBC, lipid profile and EKG to have a baseline (Cash, 2015). EKG is a screening tool to assess cardiac target organ damage in the patient with HTN (Dunphy et al., 2015). I should have included to monitor uric acid, creatinine …show more content…

I should have educated about healthy diet and daily 30 minutes of aerobic exercises. I should have encouraged to increase fruits, vegetables, reduce salt intake, low fat/cholesterol diet, serving sizes and avoiding canned and fast food. Also, I should have educated about maintaining proper intake of dietary potassium, calcium and magnesium (Madhur, 2014). I should have educated about the increase bBP with decongestants. Regular aerobic exercises can be walking, using bicycles and climbing stairs. Effectiveness of lowering BP increases when diet and lifestyle modification are combined together (Cash, 2015). Also, I should have mentioned about not exceeding 2 drinks of alcohol per day and smoking cessation (Weber et al., 2014). This is because most of the patient with high BP have other cardiovascular risk factors such as diabetes, hyperlipidemia, tobacco use and inactivity. Hence, while treating HTN, we must address all these risk factors and take preventive measures (Dunphy et al., 2015). I should have educated on relaxation techniques and lowering stress level (Cash, 2015). Diuretics, ARB, ACE and calcium channel blocker are the first line therapy for the HTN (Hernandez-Vila,

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