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Geri Case Study

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1. The priority teaching would be to never abruptly stop taking the medication especially without consulting your physician, but try to take it in the morning so she would not have to get up a lot during the night to empty her bladder. 2. Decreased cardiac output r/t increased vasoconstriction aeb variations in blood pressure readings a. Monitor and measure blood pressure in both arms, using a manual technique for an accurate reading b. Monitor response to medication to control blood pressure. Give fluid and sodium restriction as indicated
Disturbed Sleep Pattern r/t use of prescription diuretic aeb awaking various times in the middle of the night * instruct patient to take hctz in the morning to avoid waking up at night * assist the patient to identify envoiormental factors that make sleep difficult.
Knowledge deficit related to lack of information about the disease process and self-care as evidence by patient lack of complaiance with medications. * Describe the nature of the disease and the purpose of the procedure and the treatment of hypertension * Explain the importance of a peaceful environment and theraupetic, and management of stressors. 3. Two non pharmacologic ways of managing hypertension include limiting your alcohol intake and the DASH diet which includes a diet that encourages you to reduce sodium intake and eat foods rich in nutrients such as potassium, calcium and magnesium. 4. Lab tests expected to be monitored while a patient is taking hydrochlorothiazide include Bun and Creatnine and serum electrolytes. 5. Less severe side effects of Lisonopril include a cough, cramps, diarrhea, fatigue, nausea, and may have slight problems tasting food. Side effects that should be reported include dizziness, abnormally low blood pressure, joint pain, fever and a rash.…...

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