PATHOPHYS/ADV/PRAC – 2021-2022 WinterA 74-year-old Caucasian female patient presents in the clinic w

PATHOPHYS/ADV/PRAC – 2021-2022 WinterA 74-year-old Caucasian female patient presents in the clinic with chief complaints of fatigue and headache. On physical exam, she was found to have BP of 190/105 mmHg. Other V/S are as follows: HR 91, RR 20, Temp 98.0 F, Weight 190lbs, Height 5’2″. The patient states that she was on lisinopril for the past two years, but she stopped taking the medication six months ago because of severe persistent cough, which she attributes to lisinopril. PMH includes Type II DM x 3 years; Hyperlipidemia x 3 years. No history of MI or stroke. Her meds include metformin 500 mg BID, glyburide 5 mg in AM, Lipitor 20 mg daily. 1. How would you treat this patient? Please use the assigned reading on D2L to support your answers. 2. Discuss the underlying pathophysiology of hypertension and coronary disease.  3. What are the complications of uncontrolled HTN? 4. What is your plan of care for this patient? What is your goal of treatment? Return to the clinic schedule for a follow-up? When do you change/add more anti-hypertensive drugs? Referral to a specialist? 5. What is a J-CURVE effect in HTN? What are its implications for the management of HTN in older adults?      Health Science Science Nursing NSG 428 Share QuestionEmailCopy link Comments (0)

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.