A Case of Hypertension-Part 1
February 6th 2012 09:49
NS is diagnosed to be hypertensive for the past three years or more. She never knew she had elevated blood pressure, until in 2008 she had an episode of left sided weakness. As she was admitted in a hospital, blood pressure was at 220/120 mmHg. The details of that incident were no longer recalled but surely, a diagnosis of Cerebrovascular Accident was established. Though she barely remember the management given to her, we strongly believe that measures were taken to gradually decrease blood pressure and prevent progression of her neurologic symptoms. True enough, she was discharged after few days with complete recovery of motor and sensory functions. Among the take home medications recalled were Metoprolol- a beta receptor antagonist which decreases blood pressure by slowing down cardiac rate and cardiac output- and aspirin-which decreases platelet aggregation and thrombus formation, thus preventing future heart attack, stroke, and other vascular diseases.
After her attack and for the next three years, her blood pressure was not controlled. One factor for this is her irregular intake of medications, which she herself admits. Blood pressure range is from 120-160/80-90 mmHg. Her usual reading is between 130 and 140/90 mm Hg.
TO BE CONTINUED...
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