PERFUSION CASE STUDY:  Hypertension

PERFUSION CASE STUDY:  Hypertension

 

Melinda Genmar is a 42-year-old woman with primary hypertension. She is married to Tom, who has a 17-year-old son, Paul, from a previous marriage. Yvonne and Tom have two children together, Sabrina, 14, and Charlie, 3. Mr. Genmar runs his own business installing sprinkler systems, and Mrs. Genmar is a real estate agent and home inspector. Mrs. Genmar spends a great deal of time in her car showing houses and taking the kids to their various after-school activities.

 

Mrs. Genmar’s mother has type 2 diabetes; her father is fairly healthy. Mrs. Genmar has been prescribed several different antihypertensives, but her BP remains elevated. Most recently, she was placed on captopril 50 mg twice a day, which seems to be maintaining her BP within acceptable limits.

 

Question 1 

What precautions would you teach Mrs. Genmar regarding captopril in conjunction with her lifestyle?

 

 

 

 

Question 2 

If you admitted Mrs. Genmar to the provider’s office before captopril was prescribed, what interview questions would you want to explore in order to determine lifestyle factors that may be contributing to her continued hypertension?

 

 

 

 

Question 3 

What nutritional recommendations will you make to Mrs. Genmar to help her control her hypertension?

 

 

 

 

Question 4

Identify factors that contributed to hypertension. Which were modifiable, and which were not?