Blood Pressure Case Summary

Improved Essays
Mr. Michael is 70yrs old that weights 185lb and height of 65 inches. He has hypertension, diarrhea, depression, glaucoma, and osteoporosis. Blood pressure goes up when you are active and down when you are resting or sleeping. Sudden, dangerously high, and life-threatening blood pressure is called hypertension. His blood pressure is 170/80mmhg. Several types of drugs are used to control hypertension. These medications may be used alone or combination with other drugs. ACE inhibitors block production of substances that constrict blood vessels. They also help to decrease the build up of water and salt in the blood and body tissues. Patient takes ACE inhibitor captopril (Capoten, Novo-Captopril) 12.5mg orally 2-3 times daily. But before …show more content…
So he takes antidiarrheal difenoxin with atropine 2 tablets after each unformed stool. But the patient can not take more than 8 tablets per day, and before giving this medication, I need to check a complete list of drugs that patient is taking, vital signs, listen to bowel sounds, abdomen distention and patient weight. The intended response of this will be decrease in patient’s diarrhea, and GI motility, reabsorption of fluid from bowels and decrease activity of bacteria in the body. But there are some adverse effects that we should not ignore. Constipation, feeling of fullness, confusion, dizziness and drowsiness. So patient needs to take drug as it is prescribed and never take double dose to prevent constipation and avoid driving because drug causes …show more content…
Before administering him this drug, check patient’s blood pressure, heart rate and mental status. So he takes citalopram (celexa) 20 mg orally once daily. This medication will correct the depression and decrease the symptoms of depression. The most some side effects of this medication are dizziness, fatigue, and insomnia and also have some adverse effects headache, insomnia, anxiety drowsiness and hallucinations. Prescriber may start with a low drug dose and gradually increase it. Also should teach him that medicine will take 1 to 8 weeks before symptoms of depression

Related Documents

  • Improved Essays

    Mr. Smith is a 58 year old African American male who is a married stock broker with five children. Three of his children are in college while the other two live at home. His normal workday consists of working 10 hour days with an hour drive time to and from his office. This means Mr. Smith has little time to dedicate to exercising. Mr. Smith often experiences headaches, fatigue, malaise, dizziness, vision changes, nausea, and dyspnea.…

    • 1079 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Why is this drug used? Lisinopril is used to treat heart failure, high blood pressure, and to assist in the survival in patients who may have had a heart attack. It is in a class of drugs called Angiotensin Converting Enzyme blockers (ACE). This drug works by reducing certain chemicals that squeeze the blood vessels, so that the blood can flow smoother and the heart can pump the blood better.…

    • 346 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Case Study Papa Bear

    • 1051 Words
    • 5 Pages

    Mr. Bear has only felt dizziness from the drug for the first week of taking it. The second drug Mr. Bear was prescribed was 10 mg of cyclobenzaprine in the forms of tablets to take one before bed. Cyclobenzaprine is another muscle relaxant like metaxalone, but works by stopping any sensation of pain that goes to your brain. Cyclobenzaprine is a 5-HT2 receptor antagonist that inhibits the serotonergic system in the spinal cord. Some common adverse effects are blurred vision, dizziness, lightheadedness, drowsiness, and dryness of mouth.…

    • 1051 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Constipation-Medium risk. Goal: Rigoberto will maintain regular bowel elimination through the use of medications and diet for the next 12 months AEB no need for fleet enemas or rectal suppositories. Rigoberto did not have any documented or reported constipation episode. He did not require any enemas, suppositories or manual impaction checks.…

    • 1333 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    Risperidone Tabla Paper

    • 2549 Words
    • 11 Pages

    The target symptoms for this medication act by antagonizing dopamine and serotonin in the central nervous system and decrease symptoms of psychosis, specifically auditory hallucinations and delusions. Some major nursing concerns are an increase in suicidal thoughts, aggressive behavior, dizziness, extra pyramidal side effects as well as anticholinergic effects such as dry mouth, dry nasal passageways, dehydration and insomnia. Monitor CBC frequently during initial months from those with pre-existing low white blood cell count (Deglin et al., 2013, pg. 1112). The patient is also on Abilify, the target symptoms for this medication initiates at the dopamine and serotonin receptors and opposes activity at the 5-HT12.…

    • 2549 Words
    • 11 Pages
    Superior Essays
  • Improved Essays

    Henry Williams is a 74 year old African American male. Mr. Williams was admitted to the hospital with an acute exacerbation of chronic obstructive pulmonary disease (COPD). Mr. Williams has a past medical history of COPD, cardiovascular disease (CVD), asthma, hearing loss with use of hearing aids, hypertension (HTN), and hyperlipidemia. He smoked one pack per day for 50 years. He quit smoking about 6 years ago.…

    • 1370 Words
    • 6 Pages
    Improved Essays
  • Decent Essays

    Xanax Diary

    • 422 Words
    • 2 Pages

    The patient reports experiencing nausea, chills, water eyes, and vomiting. This wrtier completed the dose change change request and proceed to discuss alternatives for her use and addressing how it would affect her pregnancy. The patient expressed in tears that she wants to stop using and the desire of wanting a healthy baby. Addressing the patient ER visit two or three weeks:…

    • 422 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    All other systems reviewed and are negative; denies a headache and stomachache. Denies suicidal or homicidal ideations or intent. He will continue with the current medication regimen of Vyvanse 10 mg and Zoloft 25 mg tablet daily. The patient will stabilize symptoms through compliance on medications. The necessity of compliance was emphasized and understood by the…

    • 502 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    Pulmonary Hypertension I grew up beside my neighbor Nicole, who was diagnosed with pulmonary hypertension when she was about 4 years old. PH is a very rare condition. Doctors said that she would not make it past 11/12 years old. She is now 17 years old. Before recent advancements in technology she would be required to always wear a backpack that would hold her medicine and keep it cold with small little freezer packs.…

    • 818 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Ms. Iversen said she took Norco but it caused constipation. She is taking Motrin until she can speak with the doctor. Ms. Iversen denied any medication allergies. DURABLE MEDICAL EQUIPMENT Ms. Iversen has a walker and a bedside commode. ADL’S…

    • 934 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    condition, treatment available and his outcome. The potential for knowledge with a practical and real case increase the author awareness about hypertension equally how to recognise the potential for another condition such as heart diseases, stroke or kidney failure to occur and how to take appropriate…

    • 499 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Hypertension Essay

    • 1673 Words
    • 7 Pages

    Hypertension also referred to as blood pressure, it 's the force pushing against the walls of arteries as it flows through them, (Medical Dictionary, 2016). When the heart beats to push out blood from the arteries blood pressure is at its highest. Hypertension sometimes called “Silent killer” because patients can live with the condition for years without any signs and symptoms. Systolic is the first blood pressure reading, it is when the heart is contracting while diastolic is the second blood pressure reading when the heart is relaxed. There are various stages of hypertension : Prehypertension ( with a systolic reading between 120-139 and a diastolic reading between 80-89) High blood pressure stage1 (with a systolic reading between 140-159 and a diastolic reading between 90-99).…

    • 1673 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    I am presenting my paper as a combination medication to treat an ailment of hypertension or known for everyone as a high blood pressure. When I was a young boy growing up in the Philippines, my grandmother at my mother side of the family had two younger siblings that passed away at age of 45 from heart attacked due to high blood pressure. My father had two mild strokes but fortunately still alive with mild physical complication, and his father had three stroked, two was mild and the third is severely strong stroke that put him in bed rest for almost a year before he passed away at age of 60. This is a reason why I choose to do my paper on the combination of two medications for hypertension is because of the condition of my heart that is my…

    • 954 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Hbp Research Papers

    • 420 Words
    • 2 Pages

    In addition, as you get older your blood pressure starts to rise unless you find ways to prevent it. Some medical problems such as chronic kidney disease, thyroid disease, and sleep apnea may cause blood pressure to rise. Many medicines may raise your blood pressure as well. For example, medicines to treat asthma, and cold-relief products.…

    • 420 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Hypertension Prevention

    • 1258 Words
    • 6 Pages

    Did you know that you need to prevent hypertension no matter your age? Hypertension is a significant public health problem, and it causes just about 13% of the total deaths worldwide (Adherence). Hypertension is what is commonly known as high blood pressure due to abnormal levels of blood pressure. The pressure is continually at an elevated level due to the arteries constantly being pressurized. The abnormality can cause numerous cardiovascular issues for anyone, and depending on your age it can increase the levels of complications a person may encounter.…

    • 1258 Words
    • 6 Pages
    Improved Essays