Pathophysiology of Hypertension: A Case Study - Prof. John E. Knisely, Exams of Health sciences

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[Type text] [Type text] [Type text] NUR 3350 PATHOPHYSIOLOGY 1 Marisa Direzze University of Detroit Mercy

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NUR 3350 Pathophysiology 1 During my fourth week at Henry Ford Hospital, Macomb, I provided care for a fifty-nine year old male, Mr. F., who was suffering from a multitude of problems: Hypertension, Coronary Artery Disease, Hypertension, Metastatic Adenocarcinoma, and Cellulitis in his left leg. His main problem was controlling his hypertension. “Hypertension is a blood pressure greater than 140/90 on two separate readings, at two different times. Hypertension is a well-established risk factor for cardiovascular disease. CAD is the most common cause of death in people with hypertension” (Daniels & Nicoll, 2012, p. 901). My patient had a higher prevalence of acquiring hypertension because males are more likely to have this disease than women. Mr. F. was hospitalized because of his uncontrolled hypertension, along with lung cancer, and severe cellulits problems in his left lower leg. With proper interventions and management, he gained good control of his hypertension which decreased by his second day in the hospital. He was administered Metoprolol, a Beta blocker, “which lowers blood pressure by b-blocking effects, reduces elevated renin plasma levels, blocks B2- adrenergic receptors in bronchial, vascular smooth muscle only at high doses, and produces a negative chronotropic effect” (Mosby’s 2014, Nursing Drug Reference, p. 812). Hypertension affects approximately 50 million individuals in the United States and 1 billion worldwide. Men have higher blood pressures than women up until menopause, at which pint women quickly lose their protection. Thre prevelance of hypertension increases with age. (Gould & Dyer, 2011, p. 512) Mr. F. has many risk factors that can contribute to an increase in his hypertension such as: obesity, excessive calorie intake, excessive alcohol consumption, and low intake

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References Daniels R. & Nicoll, L. (2012). Contemporary Medical Surgical Nursing (2nd^ ed). Ashland, Oregon Gould, B.E., & Dyer, R.M. (2011). Pathophysiology for the Health Professions (4th^ ed). St. Louis, Missouri Skidmore-Roth, L. (2014). Mosby’s 2014 Nursing Drug Reference (27th^ ed). Littleton, Colorado

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