Blood Pressure Case Study: Urgent Care Clinic

Words: 790
Pages: 4
Open Document
Chief Complaint: "I need to get my blood pressure medicine refilled."
Mr. S is a 56 year-old male who presents to the Urgent Care Clinic with a request to refill his blood pressure medication. He states that he is leaving town for a week in the morning for his son's wedding in Florida and did not realize he only had 1 blood pressure pill left. It is 5PM and his doctor's office is closed for the day.
Upon further inquiry you find his blood pressure is 175/105 and he is complaining of feeling a little lightheaded and slight headache. He states he thinks it is because it was hot and he's been outside all day.
Patient denies dyspnea, orthopnea, syncope, palpitations, or cough.
Smokes 1 PPD.
PMI
Positive h/o HTN (diagnosed 5 years ago). Negative h/o DM or hypercholesterolemia. No childhood illnesses. Tonsillectomy at age 5.
Family History: Father-HTN, MI age 60, Bypass surgery post MI, still living; Mother--HTN, DM, still living
1. What additional information would you want to collect? What important risk factors does this patient have? …show more content…
I would need to make sure I assessed whether these symptoms were acute or whether he had been experiencing these for some time. Lightheadedness and headache are signs and symptoms of elevated blood pressure and could also indicate a larger problem. He stated that he was taking blood pressure medicine and that he needed a refill but I would want to know when his last cardiologist appointment was. I would also want to know the last time his medication type or dosage was changed. These are both important because it appears that his current blood pressure medication is not working and he is not achieving a therapeutic effect. His current BP is 175/105 which is elevated and needs to be brought
Show More

Related Documents: Blood Pressure Case Study: Urgent Care Clinic

Importance Of Needs Assessment

nursing practice. Relevant literature will be used to further explore the significance of personal centred care, consistency and standards to work by whilst highlighting how an understanding of his core needs will help the multidisciplinary team to provide effective care. Carl is a 68-year-old man who has gone in for an appointment at the (see appendix 1 for patient scenario) is the case study that has been chosen and will be further looked into. The essay will identify all the assessments that the…

Words 2045 - Pages 9

Hcmg730 Full Course (All Discussion, Reflections, Case Analysis and Final Assessment) Essay

HCMG730 full course (all discussion, reflections, case analysis and final assessment) Click Link Below To Buy: http://hwcampus.com/shop/hcmg730-full-course/ Week 1 Discussion Question 1 “Because Congress passed ARRA after passing HIPAA, any conflicting provisions between the two statues will be governed by the provisions of ARRA. The two statues can be reconciled because of a provision in ARRA that states any HIPAA statutory provision or regulation remains in effect to the extent that it…

Words 2080 - Pages 9

Essay on Case Study

PART ONE Medical-Surgical Cases 1 1 Cardiovascular Cardiovascular Disorders Case Study 1 Heart Failure Difficulty: Beginning Setting: Emergency department, hospital Index Words: heart failure (HF), cardiomyopathy, volume overload, quality of life X Scenario M.G., a “frequent flier,” is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come to the hospital today because I…

Words 33991 - Pages 136

Adapted Malaria Guidelines Essay

sweat then breaks out. It lasts for 2-4 hours. The patient is soaked in sweat and the temp falls. The blood pressure is relatively low. The patient feels exhausted and may sleep. Fever is irregular at first with temperature exceeding 39 degrees centigrade. It may rise up to 40oC. • Laboratory diagnosis Since the clinical presentation is non specific and may mimic many other diseases, patient blood should be examined immediately to confirm or exclude the diagnosis. A malaria test should be done…

Words 4871 - Pages 20

Managing Information Technology (7th Edition) Essay

CONTENTS: CASE STUDIES CASE STUDY 1 Midsouth Chamber of Commerce (A): The Role of the Operating Manager in Information Systems CASE STUDY I-1 IMT Custom Machine Company, Inc.: Selection of an Information Technology Platform CASE STUDY I-2 VoIP2.biz, Inc.: Deciding on the Next Steps for a VoIP Supplier CASE STUDY I-3 The VoIP Adoption at Butler University CASE STUDY I-4 Supporting Mobile Health Clinics: The Children’s Health Fund of New York City CASE STUDY I-5 Data…

Words 239873 - Pages 960