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Patho Case Study 2

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Submitted By ttrager
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1. What risk factors for primary hypertension are evident from K.H.’s history and physical data?
K.H. is a 67 year old African American male, his ethnicity and age are non-modifiable risk factors, which means it is circumstances that he cannot change. Unfortunately African
Americans are more susceptible to hypertension and after 55 years old there is a 90% chance that Americans regardless of ethnicity will develop hypertension. According to a PowerPoint from Dr. Marian, HSC 3211 on Hypertension, the ethnicities most likely to have hypertension are as follows: African American > Puerto Rican > Hispanic American > Caucasian > Cuban
K.H. is also overweight by 30 pounds. Obesity is a leading cause of hypertension because excess weight makes it more difficult for the heart to pump blood throughout the body as efficiently as it would if K.H. was not overweight. He has already started lifestyle modifications such as a salt-restricted diet in hopes of lowering his blood pressure. Sodium causes the muscles around blood vessels to becomes stronger and thicker as a result of trying to ease the extra burden the arteries are experiencing. However, this is not a good thing because it causes the arteries to become more narrow thus raising one’s blood pressure even higher. With this evidence, it is important that K.H. stay on his salt-restricted diet if he hopes to lower his blood pressure and avoid other organ damage from excess salt.
K.H. has high blood pressure at 135/96 mmHg. The risk for cardiovascular disease doubles with each 20/10 mHg increment after 115/75 mmHg. The normal range for blood pressure is 120/80 mmHg and levels above 120/80 mmHg are considered prehypertension and move into stage 1 hypertension between 140-159 SBP and 90-99 DBP and even worse high blood pressure is called stage 2 hypertension which is any SBP above 160 and DBP above 100...

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