NU636 Unit 2: Discussion Treating Hypertensive Urgencies

Initial Response

Instructions:

Scenario

You have a 57-year-old mixed-race male (black and Asian) who comes into your office for a screening to participate in a study to evaluate the effectiveness of a home cervical traction device on neck pain and intervertebral disc space. He has a history of neck pain and was diagnosed six years ago with spinal stenosis at the C5-C6 level.

During the screening, the gentleman is found to have a BP of 217/109. When you question him about this BP measurement he reports to you that he knows that his blood pressure has been in that range for about the last decade. He reports he has not seen a health care professional about his elevated blood pressure and does not have a health care professional that he sees on a routine basis. He is a healthcare professional at the provider level.

Based on the blood pressure measurement he does not meet the inclusion criterion for the cervical traction device research study.

Please develop a discussion that responds to each of the following prompts. Where appropriate your discussion needs to be supported by scholarly resources. Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion.

Discussion Prompt

Utilize the information provided in the scenario to create your discussion post.
Construct your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format: [NOTE: if any of the 3 categories is not applicable to your plan please use the ‘heading’ and after the ‘:’ input N/A]

Therapeutics: pharmacologic interventions, if any – new or revisions to existing; include considerations for OTC agents (pharmacologic and non-pharmacologic/alternative); [optional – any other therapies in lieu of pharmacologic intervention]

Educational: health information clients need in order to address their presenting problem(s); health information in support of any of the ‘therapeutics’ identified above; information about follow-up care where appropriate; provision of anticipatory guidance and counseling during the context of the office visit

Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’ with the patient/patient’s care giver; if appropriate -placing the patient in a Transitional Care Model for appropriate pharmacologic and non-pharmacologic care; if appropriate – consult with or referral to another provider while the patient is still in the office; Identification of any future referral you would consider making

Support the interventions outlined in your ‘P’ with scholarly resources.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Solution:NU636 Unit 2: Discussion Treating Hypertensive Urgencies

A 57-year-old mixed-race male (Black and Asian) is seen in the doctor’s office

for a screening to participate in a study to evaluate the effectiveness of a home cervical

traction device for long-term neck pain and intervertebral disc space. During the screening process, the gentleman was found to have a blood pressure of 217/109

BP 217/109

Diagnosis of chronic, uncontrolled hypertension: Hypertension urgency

Hypertension Urgency:

The hypertension crisis necessitates the patient’s immediate hospital admission for therapy and medical care. The Joint National Committee defines a hypertensive crisis or malignant hypertension as a blood pressure reading that is significantly higher than the normal range for either the systolic or diastolic measurements (Carey et al., 2022). Organ damage can happen if a hypertension crisis is not immediately managed.

Therapeutics:

In a more heart-focused evaluation, the doctor will take the blood pressure in each arm, listen for noises coming from the heart and lungs, listen for pressure in the kidneys, do a neurological exam, and look at the eyes through a funduscopy (Carey et al., 2022). The patient must have a comprehensive battery of laboratory tests, which must include his cardiac enzymes.

The patient should undergo imaging investigations if they notice an imbalance in their arm pulses. Electrocardiograms and echocardiograms are helpful in cases of heart failure. A mix of oral and intravenous medicines will be necessary to lower and keep the patient’s blood pressure stable. The normal time frame for controlling blood pressure is one to two days. However, this might vary depending on the severity of the condition (Poulter et al., 2020). Commonly used medications….Please click purchase button below to get full answer for $5

(Solution) NU636 Unit 2: Discussion Treating Hypertensive Urgencies