Case #3: Hypertensive Emergency You are the nurse working in the…  Case #3: Hypertensive

Case #3: Hypertensive Emergency You are the nurse working in the…  Case #3: Hypertensive Emergency You are the nurse working in the Emergency Department, assigned to triage. A 67 year old patient comes to see you and c/o a severe headache.  Patient’s initial BP was 220/105.  Patient has a longstanding history of hypertension and was recently seen in outpatient internal medicine clinic for workup for secondary causes of hypertension.  Past Medical History:IDDMHyperlipidemiaGERDPeripheral Vascular DiseaseCHF with EF of 50%AsthmaHTN Social History:          Lives with sister, took early retirement, spends most of the day outdoors           gardening and chores around the house.  Never been married, no kids. Medications:Humulin R- Sliding scaleLispro 30u BIDDigoxin 0.25mg PO dailyLipitor 40mg PO dailyPantoloc 40mg BIDHCTZ 25mg PO dailyNorvasc 5mg PO dailyVentolin 2 puffs PRN (with asthma symptoms)Coumadin 2mg PO daily  Initial Parameters:Patient: Responsive, awake, alert, but complaining of a severe headacheVitals: BP 240/120, HR 95, RR 18, O2 sat 96% on RA, Temp 36.8 CEyes: Open, pupils reactive Lungs: Clear on inspiration, expiratory wheezesHeart Sounds: NormalHeart Rhythm: 1st Degree AV block Abdomen: Flat, soft, non-tender Labs: Bloodwork   (K-2.9, Fasting Glucose- 6.2, INR 2.1)CXR: NormalECG: 1st Degree AV block questions  Provide the Pathophysiology of the diagnosis as it pertains to your case study (5 marks) Review the “past medical history”, give a brief overview of what other risk factors could have significance to the current critical situation presented? (5 marks) Is your client in homeostasis?  If not explain why? (4 marks) Identify which medications your client is on that are important for cardiac health. (4 marks) Facilitate at least 4 questions that would be pertinent to ask this patient right now? (2 marks) What are your nursing considerations? (Consider both current event and previous medical history) (5 marks) Based off of your case study and findings, provide your client with 5 health teaching tips that could change their health for the better? (5 marks)     Health Science Science Nursing NURSING CNC201 Share QuestionEmailCopy link Comments (0)

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