Clinical discussion online assignment in class

Health Policy. Long Term Care Policy Issues.
July 6, 2019
Efforts of the World Health Organization and other agencies on this issue.
July 6, 2019

Clinical discussion online assignment in class

Clinical discussion online assignment in class

L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5′4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb.

Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.

Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.

One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm.

Questions

  1. What are the effects of controlling BP in people with diabetes?
  2. What is the target BP for patients with diabetes and hypertension?
  3. Which antihypertensive agents are recommended for patients with diabetes?
 
Looking for a Similar Assignment? Order now and Get 10% Discount! Use Coupon Code "Newclient"
Buy Custom Nursing Papers

Hi there! Click one of our representatives below and we will get back to you as soon as possible.

Chat with us on WhatsApp