N1Unit5Clinical by Jessica Robison https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m Fall 2020 en-us 2020-11-11 02:20:32 UTC 2020-11-11 03:50:41 UTC hello@padlet.com L.J.W. robisonjessica307 https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911262265
  • 08/01/1958 - 62 years old
  • 70" ; 188lbs; BMI 27 
  • NKDA
    • ]]>     2020-11-11 02:22:44 UTC https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911262265     Current Dx robisonjessica307 https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911269035 Depression - 01/30/2017
    Hypertension - Stage 2 - 09/15/2020]]>     2020-11-11 02:26:55 UTC https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911269035     Current Medications robisonjessica307 https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911280749 escitalopram 20 mg PO daily 
    • started 1/30/2017
    • SSRI
    • prescribed for depression
    metoprolol 25 mg PO daily
    • started 9/15/2020
    • beta blocker
    • prescribed for HTN
    furosemide (Lasix) 40 mg PO daily
    • started 9/15/2020
    • loop diuretic
    • prescribed for HTN
    Crestor 40 mg PO bedtime
    • started 11/05/2020
    • lipid-lowering agent (statins)
    • prescribed to lower LDL and raise HDL
    amlodipine 5 mg PO daily
    • started 11/05/2020
    • calcium channel blocker
    • prescribed for HTN
    ]]>     2020-11-11 02:33:49 UTC https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911280749     Risk Factors robisonjessica307 https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911298047 Modifiable
    • Diet
      • Currently eating fast food frequently
      • Drinking 3-5 cups of coffee per day
      • Consuming a lot of carbohydrates at dinnertime
      • Consuming eggs and sausage daily with elevated cholesterol levels
    • Stress
      • Too much stress can cause high BP
    • Physical activity levels
      • Should be exercising 150 minutes/week

    Nonmodifiable
    • Race
      • African Americans face higher risk of hypertension
    • Gender
      • Males are at an increased risk for hypertension
    ]]>     2020-11-11 02:44:55 UTC https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911298047     Education robisonjessica307 https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911299125 Educated on support group options and symptoms of depression. 

    Educated on importance to report depression or medication concerns

    Educated on healthy lifestyle modifications and diet.

    Client educated on hypertension medications

    Educated on a heart healthy diet.
    • Ways to increase HDL
      • Stated understanding and willingness

    ]]>     2020-11-11 02:45:37 UTC https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911299125     Clinical Manifestations/Complaints robisonjessica307 https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911299750 1/30/2017
    • Loss of energy
    • "feeling down"
    3/10/2017
    • Decreased feeling of depression
    9/15/2020
    • Diagnosed with HTN: Stage 2
    10/10/2020
    • Increased feelings of depression
    • Orthostatic hypotension
    10/11/2020
    Lipid panel results
    • Elevated cholesterol total
    • Elevated triglycerides
    • Below normal HDL
    • Elevated LDL
    • Elevated Chol/HDL Ratio

    ]]>     2020-11-11 02:46:00 UTC https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911299750     Education regarding medications robisonjessica307 https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911353716 escitalopram
    • Do not double dose.
    • Do not stop abruptly.
    • May cause dizziness, avoid driving until response to medication is known.
    • Healthcare provider should be notified if symptoms of suicidality or seratonin syndrome occur.
    metoprolol
    • Do not skip or double dose.
    • Do not stop abruptly.
    • Check pulse daily.
    • May cause drowsiness, avoid activities requiring alertness until response to med is known. 
    • Change positions slowly. 
    • May cause sensitivity to cold. 
    • Avoid excessive amounts of coffee. 
    furosemide
    • Change positions slowly.
    • Use sunscreen and protective clothing in the sun. 
    • Continue therapy, even if feeling better. 
    • Healthy lifestyle choices still need to be made to manage HTN.
    Crestor (rosuvastatin)
    • Do not skip or double dose.
    • Use in conjunction with diet restrictions.
    amlodipine
    • Do not skip or double dose. 
    • Educate on proper way to take pulse. 
    • May cause drowsiness or dizziness, avoid activities requiring alertness until reaction to med is known. 
    • Wear sunscreen and protective clothing in the sun. 
    ]]>     2020-11-11 03:23:04 UTC https://padlet.com/robisonjessica307/97dj2nwayrqn4v1m/wish/911353716