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HTN Intervention
Manage episode 404547212 series 3456065
Fitzgerald Health Education Associates द्वारा प्रदान की गई सामग्री. एपिसोड, ग्राफिक्स और पॉडकास्ट विवरण सहित सभी पॉडकास्ट सामग्री Fitzgerald Health Education Associates या उनके पॉडकास्ट प्लेटफ़ॉर्म पार्टनर द्वारा सीधे अपलोड और प्रदान की जाती है। यदि आपको लगता है कि कोई आपकी अनुमति के बिना आपके कॉपीराइट किए गए कार्य का उपयोग कर रहा है, तो आप यहां बताई गई प्रक्रिया का पालन कर सकते हैं https://hi.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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