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Anatomy and Physiology of Hypertension Case Study

The document provides a nursing history and assessment for a 56-year-old male patient with hypertension. Key details include the patient's medical history of chicken pox and fully immunized status. He experienced dizziness and other symptoms after eating fatty foods at a wedding. On assessment, his vital signs were elevated with a blood pressure of 150/100 mmHg, pulse of 110 bpm, and respiratory rate of 30 bpm. The nursing problems identified were hypertension based on the patient's symptoms and elevated vital signs. The document outlines sections on activities of daily living, physical assessment, drug study, pathophysiology, prioritization, and nursing care plan that were not summarized due to the word count limit.

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deliciouslyme06
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12K views4 pages

Anatomy and Physiology of Hypertension Case Study

The document provides a nursing history and assessment for a 56-year-old male patient with hypertension. Key details include the patient's medical history of chicken pox and fully immunized status. He experienced dizziness and other symptoms after eating fatty foods at a wedding. On assessment, his vital signs were elevated with a blood pressure of 150/100 mmHg, pulse of 110 bpm, and respiratory rate of 30 bpm. The nursing problems identified were hypertension based on the patient's symptoms and elevated vital signs. The document outlines sections on activities of daily living, physical assessment, drug study, pathophysiology, prioritization, and nursing care plan that were not summarized due to the word count limit.

Uploaded by

deliciouslyme06
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Biographic Data and Nursing History: Details biographic data and nursing history of the patient, including family and medical history.
  • Introduction and Study Overview: Provides a background of the study including significance, scope, limitations, and a general overview.
  • Physical Assessment: Evaluates general appearance and vital signs, providing a detailed physical assessment of the patient.
  • Drug Study and Pathophysiology: Analyzes medication plans, drug classifications, and the pathophysiology of the diagnosed condition.

I.

Introduction

Background of the study

HYPERTENSION

Significance of the study:


Scope and limitation of the study
Goal and objectives:
Overview of disease
Anatomy and physiology of affected system

II. Biographic data


Name: Patient “s”
Address: Poblacion, Angat, Bulacan
Age: 56
Gender : Male
Civil status: Married
Educational level: High school Undergraduate
Religious affiliation: Roman Catholic
Occupation: Farmer

III. Nursing history

Past Health history


1. Childhood illness – chicken pox
2. Immunizations - fully immunized
3. Allergies - Peanuts
4. Accidents – Vehicular accident in right arm
5. Hospitalizations -
6. Medications used or currently taken

History of present illness


What happened to patient prior to hospitalization?
The patient ate fatty foods in the wedding of her daughter that causes
increase his blood pressure.

Sign and symptoms observed prior to hospitalization


The patient experienced dizziness, body malaise, discomfort, facial
grimace.
Medication given prior to hospitalization
Not applicable
Family history
Hereditary disease of family
According to the patient his father and his grandfather had hypertension
IV. Activities of daily living

Before Actual Interpretation and


ADL
hospitalization hospitalization analysis
Nutrition
Elimination
activity
Hygiene
Substance use
Sleep and rest
Sexual activity

V. Physical assessment

Normal Actual findings Interpretation and


analysis

1. General
Appearance
 Mood and affect
 Signs of distress
 Posture
 Body Movement
 Hygiene and grooming
 Types of clothing
 Quantity and quality of
speech
 Relevance and
organization of thoughts

Vital signs
Body temp 36.5°C-37.5°C 36.9°C
Pulse rate 60-100 BPM 110 BPM
Respiratory rate 16-20 BPM 30 BPM
Blood pressure 120/80mmHg 150/100 mmHg
VII. Drug study

Nursing
Generic / Dosage / Classificatio Contraindica Side
Indication Responsibiliti
Trade name Frequency n tion effects
es

VIII. Pathophysiology

IX. Prioritization

Nursing problem Cues Justification


Hypertension Tachypnea, Pallor, Tachycardia The patient experienced this
Dizziness, Discomfort, Body cues due to increase blood
Malaise pressure.

BP : 150/100
RR : 30
PR : 110

X. NCP

Assessment Diagnosis Inference Planning intervention Rationale Evaluation

I. Introduction Background of the study HYPERTENSION Significance of the study: Scope and limitation of the study Goal and
Family history Hereditary disease of family According to the patient his father and his grandfather had hypertension IV. Act
VII. Drug study Generic / Trade name Dosage / Frequency Classificatio n Indication Contraindica tion Side effects Nursing Re

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