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MSN 570 Hypertension Presentation.
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MSN 570 Hypertension Presentation.
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MSN 570, CASE STUDY: PATIENT
M . S . is a 5 0 y e a r old African Am er i c a n
male M.S
M . S . lives al on e in a n a p a r t m e n t
M . S . d o e s n ot exercise regularly
M . S . d o e s n o t a d he r e to the low s o d i u m
diet M D prev i ou sly s u g g e s t e d
M . S . d o e s n o t ta ke a n y m e d i c a t i o n s
b e s i d e s tylenol for h is h e a d a c h e s
Family History: Father died of acute
MI. Mother has HTN and DM
Me d i c a l History: Former smoker
(smoked for 15 years), consumes 2-3 Chief complaint: “I just moved to town,
drinks of alcohol per day and I’m here to see m y new doctor for a
checkup. I’m just getting over a cold.
General examination:: 1. BP 158/92. 2. Overall, I’m feeling fine, except for
BP 156/ 90, HR 80 bpm, RR 16 per min, occasional headaches, and som e
T 98.6 F, dizziness in the m orning, I have m y
Wt 208 lbs, Ht 5’10’’
usual cough and shortness of breath,
L a b s : The CBC, electrolytes, creatinine,
BUN, and a random glucose were particularly when walking moderate
normal. Urinalysis and PSA were normal. distances. I’m really out of shape. My
A fasting, calculated LDL other doctor prescribed a low-salt diet
for me, but I
, INTRODUCTION
TO
HYPERTENSION
● High blood pressure is when blood pressure, the force
of blood fl owing through your blood vessels, is
consistently too high.
● Hypertension (HTN) is a major risk factor for
cardiovascular diseases.
● About one in four m en and nearly one in fi ve women
age 35 to 44 have high blood pressure.
● Types of hypertension include primary and secondary
HTN
● High blood pressure is sometimes called the “silent
killer.”
● African American m en and women have higher rates
of high blood pressure than any other race or ethnic
group.
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