CASE STUDY 3
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
