NU641 Week 2 | Pharmacology in Health Care - Regis university

NU641 Advanced Clinical Pharmacology Week 2 Assignment Interactive Hypertension Case Study

Instructions

Review the patient case study and answer the questions provided. You are expected to include two evidence-based practice articles to support your work. Additionally, you will need to include the national guidelines for any treatment plans/options. All papers must conform to the most recent APA standards. Case Study Darius, a 65-year-old black man, was referred to the clinic for evaluation of high blood pressure noted on an initial screening. He reports having headaches and nocturia. He states that he has gained 8 pounds over the last year.

Past medical history:

• Appendectomy 30 years ago
• Peptic ulcer disease 10 years ago
• Type 2 diabetes mellitus for 10 years
• Gout

Family history:

• Father had hypertension; died of myocardial infarction at age 55.
• Mother had diabetes mellitus and hypertension; died of cerebrovascular accident at age 60.

Physical examination:

• Height 69 in, weight 90 kg
• BP: 140/89 mm Hg (left arm), 138/82 mm Hg (right arm)
• Pulse: 84 beats/minute, regular
• Funduscopic examination: mild arterial narrowing, sharp discs, no exudates or hemorrhages

Laboratory findings:

• Blood urea nitrogen: 24 mg/dL
• Serum creatinine: 1.1 mg/dL
• Glucose: 95 mg/dL
• Potassium: 4.0 mEq/L
• Total cholesterol: 201 mg/dL
• High-density lipoprotein cholesterol: 30 mg/dL
• Triglycerides: 167 mg/dL
• Urinalysis: within normal limit (no proteinuria)
• Electrocardiogram and chest radiograph: mild left ventricular hypertrophy

Social history:

• Tobacco: 35 pack years
• Alcohol: 1 pint of vodka/week
• Coffee: 2 cups/day

Diagnosis: Stage 1 Hypertension