Hypertension case study pharm
Description
2014 Evidence Based Guideline for the Management of High Blood Pressure in Adults (JNC 8 Panel Members)- are available online at http://www.hipertansiyonmd.com/wp-content/uploads/JNC-8.pdf (Links to an external site.). (you may need to copy and paste the web address into your browser search window).
A preview of the new 2014 Hypertension Guideline Management Algorithm published in JAMA 2014 Hypertension Guideline Algo_image.png
Contrast the 2014 (JNC-8) with The original 7th JNC hypertension guidelines discussed in your text. The full Guideline is available online at http://www.nhlbi.nih.gov/guidelines/hypertension/index.htm (Links to an external site.)
Please address ALL four situations presented below in your Case Study Response. A minimum of three credible (ie, research based, clinically relevant and published within past 4 years) APA formatted resources are required for this assignment.
Situation 1:
You are practicing in a primary care office. You are seeing an obese (BMI 32) 50 year old man for a routine physical exam. He is not in acute distress. He has had two previous consecutive blood pressure readings of >148/92 (at two separate primary care visits) with patient quietly seated. Today is his third reading 158/94. No other co-morbid conditions are identified. What other diagnostic criteria would you require? What is your diagnosis–based on what criteria? What is your medication of choice for this patient (drug class, individual drug in class, dose, frequency and titration) and why–what is your rationale for this choice? What life-style changes are indicated? When would you like to see this patient in follow up?
Situation 2:
In the event that your hypertensive patient has pre-existing asthma which class of drug, frequently used to treat hypertension may be contraindicated for him? What is your rationale?
Situation 3:
Your hypertensive patient has now been diagnosed with diabetes, which antihypertensive class would be first choice for this patient be specific. What is your rationale for prescribing this/these drug(s)?
Situation 4:
Your hypertensive patient has left ventricular dysfunction which antihypertensive drug class(s) would also benefit this patient? What is your rationale for prescribing this/these drug (s)?
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References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
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