Pathophysiology Case Study Essay

678 Words Mar 16th, 2014 3 Pages
Pathophysiology case study 2

K.H. is a 67-year-old African-American man with primary hypertension and diabetes mellitus. He is currently taking an angiotensin-converting enzyme (ACE) inhibitor and following a salt-restricted weight loss diet. He is about 30 pounds over his ideal weight. At his clinic visit his blood pressure is noted to be 135/96. His heart rate is 70 beats/min. He has no complaints. His wife brought a blood pressure cuff and stethoscope with her in the hope of learning to take her husband’s blood pressure at home.

What risk factors for primary hypertension are evident from K.H.’s history and physical data?
Primary hypertension can be linked to several risk factors, some in which are evident in K.H.’s history and
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Physical exercise can also help the weight loss process, in turn lowering high blood pressure. Excessive smoking and drinking also leads to hypertension due to hardening of the arteries. Family history and high stress levels should also be determined if present in KH as they play a large role in hypertension as well (Mayo Clinic).

What is the rationale for treating K.H. with an ACE inhibitor? What is the mechanism of action?
ACE inhibitors are important and useful in the medication and treatment for KH due to their effectiveness in treating hypertension. ACE inhibitors will help treat KH by slowing the angiotensin converting enzyme (ACE). Angiotensin II is produced by the body that can cause vasoconstriction of the blood vessels. Angiotensin II is made from Angiotensin I by the ACE. If the production of Angiotensin II is slowed by the ACE inhibitor, the blood vessels will be able to dilate, and blood pressure is able to be lowered (Copstead and Banasik). Thus, it is important for KH to stay on the ACE inhibitors due to his blood pressure readings. KH’s blood pressure is 135/96. His systolic blood pressure is in the pre-hypertensive range, however, his diastolic blood pressure is in the hypertensive range and therefore, his blood pressure is hypertensive. Since his blood pressure is high, it is important for KH to remain taking the

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