Essential Hypertension Case Studies

Essential hypertension can often be without symptoms and only discover that their blood pressure is high during a doctor’s appointment. Essential hypertension can begin at any age, however it most often occurs first during the middle-age years. Hypertension is usually asymptomatic until complications develop in affected organs. Common effects of hypertension range from dizziness, flushed facies, headache, fatigue, epistaxis, to nervousness. Severe hypertension, a hypertensive crisis, can cause severe cardiovascular, neurologic, and renal. Aneurysms, abnormal bulges that forms in the wall of an artery, develop. They develop and grow for long periods of time, sometimes years, without any visible signs or symptoms until they either rupture, grow

The concern regarding the use of anti-hypertensive medication as a treatment procedure for hypertension has mainly been centered on the optimal choice of these agents. The other factors include the side effects of these drugs on a hypertensive patient, especially coughing. While three categories of these drugs are linked with cough as a side effect, they have varying casual explanations though angiotensin-converting enzyme (ACE) inhibitors play a crucial role (Van Amburgh, 2011). The main objective for the use of anti-hypertensives in dialysis patients is to obtain and sustain an optimal blood pressure or lessen it by the least intrusive measures possible. While this is not

Hypertension. His blood pressure is great here in the office. I will have him continue with his same medication and I will continue to follow along and he was asked also monitor for signs of hypotension and I did review with him what to be monitoring for.

Patient states he is “in very good shape overall,” he has had some concerns in the past with his blood pressure which was too high, but it's been a long time since

Mr. S is a 29-year-old male with past medical history of (PMH) hypertension (HTN) and obesity who presented to local emergency room (ER) with headache and chest and back pain. Mr. s had been seen at urgent care three days prior for a headache and near syncope and was told to hold his metoprolol due to bradycardia. Due to health insurance related problem, he has been off amlodipine and lisinopril for a month.

According to JNC 8 guidelines, close monitoring is essential when patients start on new hypertensive medication. Therefore, Mr. Hightower will require frequent visits to the clinic to ensure improvement in his health condition. His blood pressure will be monitored at each visit and blood work will be done to monitor his kidney and liver functions and to determine his adherence to treatment. In case of noncompliance, a third category of antihypertensive must be added to improve hypertension outcomes and prevent cardiovascular disease.

It appears that Dr. Ally’s problems first began 12 years ago when he was diagnosed with essential hypertension, but has been untreated for a year. Later Dr. Ally experienced dyspnea then epistaxis followed by dizziness and a blurry vision. His blood pressure was 180/110. Upon auscultation rales or crackles were found on his chest. Some indications appear as Dr. Ally could have pre-congestive heart failure (CHF).

Patients that are diagnosed with hypertension usually are unaware of it. Millions of people are sent home to be monitored for twenty-four hours, after finding out. If someone’s blood pressure is enormously high, he may have certain symptoms. Symptoms can vary from nose bleeds, to chest pains, or even an irregular heartbeat. If patients have these symptoms, they should see a doctor immediately. They could be having a hypertensive crisis, which can lead to heart attacks, strokes, and or death (Mayo Clinic, 2012).

Karen just got from the hospital and it sounds like things are improving. Mike’s color has improved, they have his PH in check, he is off the blood pressure meds, and they identified one of the strains of bacteria, so they are changing his antibiotics to treat that. They still have him heavily sedated, but he has been shown some signs of responding. They are no talking about things in days, rather than hours. It sounds like he will most likely be in the hospital for 3

As Eliot’s blood pressure was high, pseudoephedrine was discontinued as well as cimetidine due to the interaction with warfarin. However, Eliot’s blood pressure remaining still high after a month of discontinuing pseudoephedrine. At this point, Eliot need a new prescription to control is hypertension. Therefore, hydrochlorothiazide has started to treat his hypertension.

Although there are beneficial in testosterones, from the case presented, certain causative factors can be deduced. 1. Hypertension by itself can cause erectal dysfunction and in an attempt to treat the hypertension with hydrochlorothiazide, testosterone is compromised, further worsening the erectile dysfunction (Al Khaja et al., 2016). Once the testosterone level drop to that critical level, patient metabolism is slowed. Patient becomes less active and gained core weight. As the patient gains weight, more fat is studded up which leads to increase estrogen production that further suppresses the effect of the testosterone (McCance & Huether, 2015). Therefore, my initial intervention in this patient will be

High blood pressure is a disorder occurring in the circulatory system, it is one of the leading factors of stroke. Stroke is a disease that have effect on the blood vessels that supply blood to the brain. A stroke occurs when a blood vessel to the brain is either blocked by a clot or bursts. Hypertension increases the pressure of blood flowing through your arteries, this can eventually lead to a wide range of complications. It can put extra pressure on the blood vessel walls, and can additionally speed up certain forms of heart disease that may lead to stroke. High blood pressure can cause cholesterol and other fat like substances to break off artery walls and block brain artery, which contributes to heart attack and stroke, eventually the

This term refers to lack of control of blood pressure with appropriate treatment in a patient who does not have resistant hypertension. The following factors may result in this situations{12-16} as given in table below-

At the patient's last visit, she was restarted on the metoprolol XL 25 mg daily. Please see the note dated June 3rd for complete details. She tells me that she has tolerated the metoprolol well. However, she has not noticed any change really in her blood pressures. For the most part, they are ranging in the 150 to 156 systolic/90 to 100 diastolic. She said she looked back at the bottle that she had previously from her physician down at Lahey and discovered that the tablet she was taking before was 50 mg not 25. She wanted to give the 25 mg a month though to see if was going to make a difference with her blood pressures. She is not having any headache. She is not having chest pain, dyspnea on exertion, lower extremity swelling. She still exercising. Typically running or swimming three to four times weekly and she does bar class a couple times weekly, as well and she is completely asymptomatic with those activities. Prior to stopping her blood pressure medication, she had been on a regimen of metoprolol as well as Nifedical and was ultimately stopped with those medications by the nephrologist, who found her blood pressures were running even on the

pt explained reasoned she came to this facility because physical therapists when she went out to eat with her family and went down to the floor when walking out of the restaurant. She did no hurt herself from the falls. Her blood pressure sometimes too low or too high. She states usually feels sweaty, dizzy, and lightheaded with episodes. Explain to pt since her blood pressure is unstable, when feel dizzy she need to sit down right away to prevent fall that could be hitting head. Encourage pt need to check blood pressure every morning before take high blood pressure medications to prevent don’t get too low bp. Pt stay home alone. Pt states is about time for her to think about going to assisting living soon if she unable to do much for herself. Very friendly to talk with. HDoan WATC PN2