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HTN Intervention
Manage episode 404547212 series 3456065
Fitzgerald Health Education Associates에서 제공하는 콘텐츠입니다. 에피소드, 그래픽, 팟캐스트 설명을 포함한 모든 팟캐스트 콘텐츠는 Fitzgerald Health Education Associates 또는 해당 팟캐스트 플랫폼 파트너가 직접 업로드하고 제공합니다. 누군가가 귀하의 허락 없이 귀하의 저작물을 사용하고 있다고 생각되는 경우 여기에 설명된 절차를 따르실 수 있습니다 https://ko.player.fm/legal.
A 56-year-old man with a 10-year history of hypertension (HTN) presents for a primary care visit, stating he has not taken his HTN medications, a calcium channel blocker, angiotensin-converting enzyme inhibitor, and thiazide diuretic for the past 3 months due to “running out of the medication and not getting to the pharmacy.” Today, his blood pressure (BP) is 192/120, and he is without complaint, denying shortness of breath, chest pain or visual changes. He states, “ I just came in today for a visit since I ran out of high blood pressure refills. I need to get back to work in a ½ hour.” His physical examination shows no acute distress, grade 1 HTN retinopathy, and S4 heart sound, neck veins WNL, chest is clear, no peripheral edema with resting HR= 73, RR=16. 12-lead ECG is WNL. BMI= 33. Which of the following is the next best step in this patient’s care?
A. Administer in-office oral clonidine and reassess blood pressure in 1 hour.
B. Activate EMS with prompt transfer to emergency department
C. Restart prior blood pressure medications with follow-up within the next month
D. Advise restricting dietary sodium and weight loss to help with BP control.
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YouTube: https://www.youtube.com/watch?v=QCT8CPoBb7w&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=58
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78 에피소드
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