Mark Dunn hesi case study

Mark Dunn hesi case study

1. 52 year old white male

2. 72" tall, 190 pounds

3. Smokes 1 1/2 pack per day

4. Drinks alcohol of unknown amount after work with friends

5. Drinks 4/5 cups of coffee per day

6. Initial Assessment

   • Blood pressure189/110
   • Cholesterol 200
   • Follow-up Assessment
     • Blood pressure 180/106
     • DX stage 2, primary hypertension
       • Low salt diet
       • quit smoking
       • limit alcohol
       • manage stress
       • chlorothiazide, atenolol
         • Procardia
           • Avoid grapefruit
     • U/S for family hx of AA
       • 3 cm Fusiform Aneurysm
         • Tx with good BP control

7. Family History

   • Mother
     • Diabetes Metlitus
     • ? Hypertension
   • Uncle/Grandfather
     • Aortic Aneurysm

8. Patient Teaching

   • quit smoking
   • low salt diet
   • Stress Management
   • Reduce Alcohol
   • Methods
     • Biofeedback
     • Guided Imagery
     • Nicotine Gum
     • Limit Processed Foods
     • Increase fresh vegies
     • Quit plan

9. Presents ER

   • Sudden Back pain
   • Pale
   • Orders: .9% NS IV, CT Scan, Type and Cross x4, EKG
     • Dx - dissecting aortic aneurysm
       • Emergency Surgery
         • Patient dies in surgery