Case Study

Running head: CASE STUDY 1
Case Study
Case Study
1. The History to be Added for the Patient
Apart from the medical history that the patient provided, the patient needs to provide
more on his account. The patient needs to provide information about the clients history
concerning the prior incidences of hospitalization. The patient also needs to give any legal
history he has in his past. The patient needs to know the family history of the patient; if any
illnesses in the family are genetic, they could point to some of the symptoms being witnessed in
the patient.
2. The Treatment Goals for the Patient
The treatment plan should be able to increase the energy level of the patient to the
maximum. Further, it should be able to promote the rest of the patient and improve the
respiratory functioning of the patient. The patient has to be enhanced regarding complexity so
that he can practice daily living before his discharge. The intervention plan will also involve
monitoring his vital signs during activity closely because an increase in the heart rate has the
potential of decreasing myocardial perfusion and in the process make arrhythmias recur. The
patient should be discontinued from the current set of medication if they are ineffective because
they have the potential of reducing the effectiveness of other drugs.
3. Drug Treatment Today:
a. The Choice for the Dose and Length of Time
The patient may need to be administered with antihypertensive and diuretic medicines
(Gulanick & Myers, 2007). The patient will need to be supplemented with oxygen and placed
under fluid restriction. The patient also needs to be taught more on the symptoms that indicate
heart failure and the diets he should consider. The doses should be split to twice a day (The
Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH), 2009).
The particular medicines he should take for his condition are Ca channel blockers, angiotensin-
receptor blockers (ARBs), angiotensin-converting enzyme (ACE) inhibitors, diuretics and b-
blockers (The Japanese Society of Hypertension Guidelines for the Management of Hypertension
(JSH), 2009). These drugs should be administered alone without any other medicines.
b. The Rationale for the Choice
Antihypertensive and diuretic medicines increase the level of myocardial perfusion while
decreasing the preload in the patient under care. Also, the patient exhibits strong signs of
hypertension which explain the difficulty in breathing.
4. Interactions with other drugs and adverse side effects
The proposed antihypertensive drugs tend to react with other drugs when administered
along with them. They should, therefore, be conducted in isolation.
5. Patient education regarding the drug and the plan to give care
The aim of using the drugs is to prevent the occurrence of cerebrovascular diseases. Upon
the onset of a series of medications, in drug therapy, the patient should always bear in mind what
the target to be realized is at all times. The medicines may not necessarily achieve the needed
objective because according to studies, close to 50% of the patients do not reach there because of
various prevailing circumstances (The Japanese Society of Hypertension Guidelines for the
Management of Hypertension (JSH), 2009). The patient should, therefore, be adviced to follow
the instruction to the letter if the medication is to be successful. Most drugs have conditions
when being consumed.
Gulanick, M., & Myers, J. L. (2007). Nursing care plans: Diagnoses, interventions and outcomes (7th ed.). St. Louis,
MO: Mosby.
The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH). (2009). Treatment
with antihypertensive drugs. Hypertension Research volume 32, 3339, doi:10.1038/hr.2008.5.

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