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Pages:
2 pages/≈550 words
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Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
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Topic:

Hypertension and the Pathophysiological Changes in the Heart and Eyes

Coursework Instructions:

Dr. Ally, a 49-year-old professor, was diagnosed with essential hypertension 12 years ago and was on antihypertensive drugs. However, he did not take his medications last year because he was feeling just fine. In addition, he was very busy with work. Nevertheless, he felt tired after work and developed dyspnea while climbing the stairs. Recently, he had a bout of epistaxis (severe nose bleed) with dizziness and blurred vision. He went to the doctor for a checkup. His blood pressure was 180/110, and the doctor found rales or crackles on his chest upon auscultation. The doctor ordered rest and asked him to start his medication again.
What are the patient's problems?
What pathophysiological changes are happening in his eyes and heart?
According to the doctor, the patient might have developed congestive heart failure. Is it right-sided or left-sided?
What medications are likely to have been used? Describe the mechanisms of actions of at least two antihypertensive drugs.

Coursework Sample Content Preview:

Hypertension
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Hypertension
The patient in the case study is experiencing dyspnea or shortness of breath due to high blood pressure. This means that his heart is overworking whenever he does some exercise like climbing stairs, and his age is another factor that acts as a catalyst in the rising of the high-pressure levels. It is because of the same reasons that the patient is also experiencing nose bleeding, which is the main factor leading to his dizziness and blurry visions. Therefore, all these symptoms being experienced by the patient are a result of high blood pressure, which is a result of his hypertension condition and old age. The exercises that he engages in, on the other hand, only act as a catalyst to whatever he is experiencing.
A pathophysiological change that the patient is most likely experiencing in his heart is the swelling of the heart walls or muscles due to the high blood pressure caused by the exercises that he engages in. In return, the muscles swelling causes the heart to become too weak from the extra work it does, hence failing to pump the blood effectively. As a result, the oxygenated blood from the lungs seems to be blocked into the heart as only a smaller portion of the blood gets to flow into the heart. The excess oxygenated blood is then forced back into the lungs, which eventually causes shortness of breath and nose bleeding. The excess loss of blood through nose bleeding, on the other hand, is what is associated with dizziness and the blurry vision that the patient seems to be experiencing, and in some cases, the patient might faint (Lopes et al., 2013).
Congestive heart failure can be right-side (right ventricle), left-sid...
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