NURS 449: Case Study 1: Hypertension Management

Case Study 1: Hypertension Management in a 50–Year–Old Patient

Objective: Understand the pharmacologic treatment of hypertension, evaluate drug interactions, and individualize care plans.

Patient Profile:

• Age: 50
• Gender: Male
• Height/Weight: 5’9”, 230 lbs
• Medical History: Hypertension (diagnosed 3 years ago), Type 2 Diabetes (well-controlled with metformin), elevated cholesterol
• Current Medications: Metformin 500 mg BID, Atorvastatin 20 mg daily
• Blood Pressure: 160/98 mmHg

Instructions for Students:

1. Assess the patient’s current medications and identify potential interactions.
2. Recommend a pharmacologic treatment plan for hypertension. Consider first-line and alternative medications.
3. Justify your medication choice based on patient history and current guidelines.
4. Discuss any adjustments needed in the patient’s other medications (e.g., statins, diabetes medications) if new drugs are introduced.
5. Monitor: List parameters for monitoring the efficacy and safety of the chosen therapy (e.g., BP, kidney function, side effects).
6. Counsel: Create patient education points focusing on medication adherence, lifestyle changes, and potential side effects.

Solution: NURS 449: Case Study 1: Hypertension Management

Hypertension Management in a 50-Year-Old Patient

Hypertension is one of the significant risk factors for cardiovascular diseases and is mainly common among patients with more than one healthcare condition such as type 2 diabetes and hyperlipidemia. The case study presented is for a 50-year-old male patient who is suffering from diabetes and an elevated level of cholesterol. Effective pharmacological treatment, careful consideration of drug interactions, and personalization of care for the patient are fundamental for such a patient. With the review of the current medications being used by the 50-year-old patient, the introduction of antihypertensive, and monitoring of the various parameters will be ideal for the enhancement of the health outcomes.

Assessment of the Patient’s Current Medications and Potential Interactions

At the moment the patient is using metformin 500mg BID and atorvastatin 20mg daily. Metformin is the first-line medication recommended for treating type 2 diabetes and has minimal drug interactions with antihypertensive agents as per Al-Musawe et al. (2021). Metformin helps in controlling the level of blood glucose without causing side effects such as gaining weight which is necessary for the management of diabetes and obesity. On the other hand, atorvastatin is a lipid-lowering agent that is mainly used for the management of high cholesterol levels. The medication is fundamental for the management of cardiovascular events and therefore is necessary because the patient has diabetes and hypertension. Both drugs are necessary for managing the comorbidities and do not have contraindications with hypertension therapies…. (download full solution by clicking the purchase button)

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