Zusammenfassung der Ressource
Mark Dunn hesi case study
- 52 year old white male
- 72" tall, 190 pounds
- Smokes 1 1/2 pack per day
- Drinks alcohol of unknown amount after work with friends
- Drinks 4/5 cups of coffee per day
- Initial Assessment
- Blood pressure189/110
- Cholesterol 200
- Follow-up Assessment
- Blood pressure 180/106
- DX stage 2, primary
hypertension
- Low salt diet
- quit smoking
- limit alcohol
- manage stress
- chlorothiazide, atenolol
- Procardia
- Avoid grapefruit
- U/S for family hx of AA
- 3 cm Fusiform
Aneurysm
- Tx with good BP control
- Family History
- Mother
- Diabetes Metlitus
- ? Hypertension
- Uncle/Grandfather
- Aortic Aneurysm
- Patient
Teaching
- quit smoking
- low salt diet
- Stress Management
- Reduce Alcohol
- Methods
- Biofeedback
- Guided Imagery
- Nicotine Gum
- Limit Processed Foods
- Increase fresh vegies
- Quit plan
- Presents ER
- Sudden Back pain
- Pale
- Orders: .9% NS
IV, CT Scan,
Type and Cross
x4, EKG
- Dx - dissecting aortic aneurysm
- Emergency Surgery
- Patient dies in
surgery