Required Uniform Assignment: Case Study Presentation
Bmsafiri
Grouppowerpoint.pptxHypertension
Esperanza Jauregui,
Chamberlain University School of Nursing
NR 324 - Adult Health I
Professor Sullivan
August 15, 2021
Table of Contents
Introduction about the disease
01
About the Disease
Demographics, Medical History, Chief Complaint, Manifestations
02
Health History
Lab Results and Diagnostic Results
03
Labs & Diagnostics
Procedures, Treatment, and Case Management
04
Collaborative
Management
Plan of Care
06
Psychosocial Nursing Management
05
Physiologic Nursing Management
Plan of Care
Esperanza Jauregui
Hypertension, or high blood pressure (BP), is one of the most important modifiable risk factors that can lead to the development of cardiovascular disease (CVD).
Hypertension is often called the “silent killer” because it is often asymptomatic until it becomes severe and target organ disease occurs
The most common complications of hypertension are target organ diseases occurring in the heart, brain, peripheral vessels, kidneys, and eyes.
About the Disease
Esperanza Jauregui
Kwong, H. & Reinisch, R. (2020) Lewis’s Medical-Surgical Nursing (11th ed.) Evolve
Health History
45 y/o Male, African American
Demographics
Heart palpitations, headache, and dizziness
Chief Complaint
Hx. of Type 2 Diabetes Mellitus, Obese and ½ a pack smoker daily
Medical History
10+ yrs diagnosis of stage 2 hypertension, noncompliant with medications
History of Present Disease
Esperanza Jauregui
J. P is a 45 year old African American male who came to the emergency room with complaints of heart palpitations since yesterday evening and a severe headache. The patient states that “he feels that his head is pounding that it makes him dizzy and that his heart is going to beat out of his chest.” The patient also complains of chest pain, SOB, lightheadedness and dizziness. He states that he has a history of type 2 diabetes mellitus. The patient is obese and is weighing at 260 lbs (117.9 kg). The patient is smoker (½ a pack a day), noncompliant with medications or dietary changes.
When arriving to the emergency department, the patient’s vital signs were 160/90 for the blood pressure, 86 for the heart rate, 98.6 for the temperature, 90% for the pulse ox, and 15 for the respirations.
Signs and Symptoms
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Mars
Mercury is the smallest planet in the Solar System
Mercury
Text
Despite being red, Mars is actually a cold place
Mars
It’s composed mostly of hydrogen and helium
Saturn
It’s a gas giant and the biggest planet in the Solar System
Jupiter
Text
Big numbers catch your audience’s attention
Text
Big numbers catch your audience’s attention
Key Numbers
50,000
Mars is actually a cold place full of iron oxide dust
20,000
Jupiter is a gas giant and also the biggest planet
5,500
Saturn is composed mostly of hydrogen and helium
—Someone Famous
“This is a quote, words full of wisdom that someone important said and can make the reader get inspired.”
Laboratory Studies
Laboratory Studies that are used to diagnosis hypertension along with patient history and physical assessment include:
Serum lipid panel (Total lipids, triglycerides, HDL, and LDL)
Complete blood count (cbc)
Basic metabolic panel, Routine urinalysis, BUN and serum creatinine levels
Serum electrolytes and Uric acid
.
Fasting blood glucose
Brain natriuretic peptide
Abigail Morales
Serum lipid panel (Total lipids, triglycerides, HDL, and LDL)
Increased levels of cholesterol and triglycerides are primary risk factors for atherosclerosis
Hyperlipidemia is more common in people with hypertension
Complete blood count (cbc)
CBC is used to to indicate anemia due to chronic renal disease and anemia is a risk factor of ischemic heart disease.
Basic metabolic panel, Routine urinalysis, BUN and serum creatinine levels
Routine urinalysis, BUN, and serum creatinine levels are used to screen for renal involvement and provide baseline information about kidney function. Creatinine clearance reflects the glomerular filtration rate. GFR rate is measure in hypertension because they are likely to develop chronic kidney disease.
Serum electrolytes and Uric acid
Measurement of serum electrolytes, especially potassium, is essential to detect hyperaldosteronism, a cause of secondary hypertension. Uric acid levels establish a baseline since the levels often rise with diuretic therapy.
Fasting blood glucose
High glucose levels increased the risk of hypertension
BNP
Measures the pressure within the ventricles of the heart. Increased BNP may increase the severity of hypertension.
References: Kwong, H. & Reinisch, R. (2020) Lewis’s Medical-Surgical Nursing (11th ed.) Evolve
Normal Laboratory Values
Serum lipid panel (Total lipids, triglycerides, HDL, and LDL)
LDL < 100 mg/dL
HDL > 40 mg/dL
Triglycerides < 150 mg/dL
Total Cholesterol < 200 mg/dL
Complete blood count (cbc)
Hemoglobin (Hgb)
Female: 12–16 g/dL // Male: 14–18 g/dL
Hematocrit (Hct)
Female: 37%–47% // Male: 42%–52%
WBC count
5000–10,000/μL
Platelet count
150,000–400,000
Abigail Morales
References: Kwong, H. & Reinisch, R. (2020) Lewis’s Medical-Surgical Nursing (11th ed.) Evolve
Laboratory Studies
Basic metabolic panel, BUN, serum creatinine levels, serum electrolytes
BUN: 6 to 20 mg/dL
CO2 (carbon dioxide): 23 to 29 mmol/L
Creatinine: 0.8 to 1.2 mg/dL
Serum chloride: 96 to 106 mmol/L
Serum potassium: 3.7 to 5.2 mEq/L
Serum sodium: 136 to 144 mEq/L
Serum calcium: 8.5 to 10.2 mg/dL
Uric acid
Men 3.4-7.0 Mg/dL // Women 2.4-6.0 Mg/dL
Fasting blood glucose
Glucose: 64 to 100 mg/dL
Brain natriuretic peptide
Less than 125 pg/mL for aged 0-74 years
Less than 450 pg/mL for aged 75-99 years
Abigail Morales
References: Kwong, H. & Reinisch, R. (2020) Lewis’s Medical-Surgical Nursing (11th ed.) Evolve
Prevention
01
02
03
04
Mercury is the closest planet to the Sun
Mercury
Despite being red, Mars is a cold place
Mars
It’s the biggest planet in the Solar System
Jupiter
Saturn is composed of hydrogen and helium
Saturn
Venus has a beautiful name and is the second planet from the Sun
Treatment
Venus
Mercury is the closest planet to the Sun and the smallest one
Mercury
You can describe here what the patient shouldn’t do
You can describe here what the patient shouldn’t do
You can describe here what the patient shouldn’t do
Recommendations
What not to do
You can describe here what the patient should do
You can describe here what the patient should do
You can describe here what the patient should do
What to do
X
V
Prevalence
Despite being red, Mars is a cold place
Mars
It’s the biggest planet of them all
Jupiter
02
01
Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon
Healthy Habits
Jupiter is a gas giant, the biggest planet in the Solar System and the fourth-brightest object in the night sky
Text
References
Kwong, M.H.D.R.C.R.D.H. J. Lewis's Medical-Surgical Nursing. [VitalSource Bookshelf]. Retrieved from https://online.vitalsource.com/#/books/9780323551496/
References
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● AUTHOR (YEAR). Title of the publication. Publisher
Educational Icons
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