When someone is taking HCTZ and an angiotensin-converting enzyme (ACE) inhibitor, such as benazepril, what lab test results would you expect to be monitored?
Chart View
Laboratory Test Results (Fasting)
Potassium 3.6 mEq/L (3.6 mmol/L)
Sodium 138 mEq/L (138 mmol/L)
Chloride 100 mEq/L (100 mmol/L)
CO2 28 mEq/L (28 mmol/L)
Glucose 112 mEq/L (6.2 mmol/L)
Creatinine 0.7 mg/dL (61.9 mcmol/L)
Blood urea nitrogen (BUN) 18 mg/dL (6.4 mmol/L)
Magnesium 1.9 mEq/L (0.95 mmol/L)
13. What lab test results, if any, are of concern at this time? 14. You take M.P.’s BP and get 138/88. She asks whether these BP
readings are okay. On what do you base your response? 15. List at least 3 important ways you might help M.P. maintain
her success.
Case Study Progress M.P. tells you she was recently at a luncheon with her garden club and that most of those women take BP pills different from the ones she does. She asks why their pills are different shapes and colors.
16. How can you explain the difference to M.P.? 17. During the visit, you ask M.P., “When was your last eye
examination?” She answers, “I’m not sure, probably about 2 years ago. What does that have to do with my blood pressure?” What is your response?
Case Study Outcome M.P. comes in for a routine follow-up visit 3 months later. She continues to do well on her daily BP drug regimen, with average BP readings of 130/78. She participates in group walking program for senior citizens at the local mall. She admits she has not done as well with decreasing her salt intake but says she is trying. She visited an ophthalmologist last week and had no problems except for a slight cataract in one eye.
Case Study 3 Name _________________________________ Class/Group _____________________________ Date _____________
Scenario A.M. is a 52-year-old woman who has gained over 75 lbs (32 kg) over the past 30 years, after the birth of her 3 children. She has a sedentary job that requires sitting at a desk for most hours of the work day. When she is at home, she stays inside because she is afraid to walk by herself in her neighborhood. She lives alone, but her children live in the same city. She has a history of hypertension and states that she does not take her medications regularly. She came to the clinic today stating that she thinks she might have a urinary tract infection. Her weight is 255 lbs (102.5 kg). She is 5 feet, 4 inches tall (162.5 cm) and has a waist circumference of 41 inches (104 cm). Her abdomen is large, nontender, soft, and round. Her blood pressure is 160/104. You review fasting labs results that were drawn a week ago.
Chart View
Laboratory Results
Glucose 170 mg/dL (9.4 mmol/L)
Total cholesterol 215 mg/dL (5.6 mmol/L)
Triglycerides 267 mg/dL (3.0 mmol/L)
HDL 60 mg/dL (1.56 mmol/L)
LDL 116 mg/dL (3.0 mmol/L)
HbA1C 5.9%