Chapter 28, Problem 1CS

(1)

Summary Introduction

To describe:

The suspicious medical condition by which Dr. G, is affected and the prioritized recommendation.

Case summary:

Dr. G, is a university lecturer (aged 62). He has been detected with hypertension (primary). He will be advised to take hydrochlorothiazide (HCTZ- 50 mg) daily. At this time, there is no history of cardiac damage or renal deficiency (nor evidence of end-organ disease or retinopathy).  She is worried about the coming up semesters (having teaching load) but she is trying to get good health.

Dr. G, suffered by tiredness (after one month follows up). She questioned the prescriber that the drug cause sleepiness. After an inquiry, Dr. G, says that she takes the medication (HCTZ) at dinnertime as she scared about the medication will affects (interfere) her classes.

(2)

Summary Introduction

To describe:

To take dietary potassium what type of food should Dr. G, eat.

Case summary:

Dr. G, is a university lecturer (aged 62). He has been detected with hypertension (primary). He will be advised to take hydrochlorothiazide (HCTZ- 50 mg) daily. At this time, there is no history of cardiac damage or renal deficiency (nor evidence of end-organ disease or retinopathy).  She is worried about the coming up semesters (having teaching load) but she is trying to get good health by taking steps.

Dr. G, suffered by tiredness (after one month follows up). She questioned the prescriber that the drug cause sleepiness. After an inquiry, Dr. G, says that she takes the medication (HCTZ) at dinnertime as she scared the medication will affects (interfere) her classes.

(3)

Summary Introduction

To describe:

Dr. G,’s potassium level is 3.4 mEq/L that comes back after the laboratory testing. Dr. G, questioned about taking potassium pills.

Case summary:

Dr. G, is a university lecturer (aged 62). He has been detected with hypertension (primary). He will be advised to take hydrochlorothiazide (HCTZ- 50 mg) daily. At this time, there is no history of cardiac damage or renal deficiency (nor evidence of end-organ disease or retinopathy).  She is worried about the coming up semesters (having teaching load) but she is trying to get good health by taking steps.

Dr. G, suffered by tiredness (after one month follows up). She questioned the prescriber that the drug cause sleepiness. After an inquiry, Dr. G, says that she takes the medication (HCTZ) at dinnertime as she scared the medication will affects (interfere) her classes.

(4)

Summary Introduction

To describe:

In what way Dr. G, should be educated in regulating her diabetes (while taking hydrochlorothiazide diuretics).

Case summary:

Dr. G, is a university lecturer (aged 62). He has been detected with hypertension (primary). He will be advised to take hydrochlorothiazide (HCTZ- 50 mg) daily. At this time, there is no history of cardiac damage or renal deficiency (nor evidence of end-organ disease or retinopathy).  She is worried about the coming up semesters (having teaching load) but she is trying to get good health by taking steps.

Dr. G, suffered by tiredness (after one month follows up). She questioned the prescriber that the drug cause sleepiness. After an inquiry, Dr. G, says that she takes the medication (HCTZ) at dinnertime as she scared the medication will affects (interfere) her classes.