High Blood Pressure

Case Study: Hypertension No PLAGIARISM, READ THE HIGHLIGHTED ONLY BULLETED ANSWERS FOR #2 AND #3 question is all you have to answer After reviewing the case, please provide answers to the questions that follow. Concise, bulleted answers are highly preferred. Points will be removed for lengthy answers. 1st Visit Background: PT is a 64-year-old African American schoolteacher who presents today for her annual flu shot. She is afebrile. Her blood pressure is noted to be 182/98 mm Hg and a diagnosis of hypertension is made. Vitals: • Height: 5’3” • Weight: 86 kg (IBW = 52 kg) • Blood pressure: 182/98 • Pulse: 60 PMH:  • High BP measurement at last 2 clinics visits• Osteoporosis• Rheumatoid arthritis• Hyperlipidemia• Chronic constipation Family History:  • Mother with hypertension Social History:  • Non-smoker • 1 glass of red wine nightly Current Medications:  • Lovastatin 40 mg PO QD• Ibuprofen 600 mg PO QID• Premarin (conjugated estrogens) 0.625 mg PO QD• Calcium carbonate 1250 mg PO QD• Alendronate 70 mg PO Q week Labs:  • Na 140 • K 4.0 • BUN 20  • SCr 0.7 Questions 1. What stage should PT’s blood pressure measurement of 182/98 mm Hg be classified as? • Stage 3 2. What factors may be increasing PT’s blood pressure levels (i.e., secondary hypertension)? 3. Which non-pharmacologic, lifestyle modifications should be recommended for PT?

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