NURSING PROCESS ON ANTIHYPERTENSION ADMINISTRATION

Created by Anastasia Anna

Case :
Mr. A, a 61-year-old man with hypertension, and symptoms of benign prostatic hyperplasia (BPH
presents to his new primary care physician for a follow-!p e"al!ation. Physical e#amination re"eals
inade$!ately controlled hypertension (1%&'() mmhg on hydrochlorothia*ide'triamterene with
e"idence of ophthalmic and cardiac target organ damage. +he patient is also ta,ing se"eral medications
that may interfere with his blood press!re control. He is also hyperglycemic (-B. 1/0 mg'dl, which may
be partially attrib!table to the thia*ide di!retic. Patient ed!cation on life-style modification is the first
inter"ention that sho!ld be !nderta,en. A change in dr!g therapy is also warranted, b!t the !s!al first-
line medications, di!retics and -bloc,ers, may not be optimal for him. An antihypertensi"e that wo!ld
also treat his BPH (i.e.an
1
antagonist is a reasonable choice for him.
+he patient reports increasing !rinary hesitancy o"er the past 6 month, straining to !rinate, and
fre$!ent noct!ria witho!t dys!ria, his prostate is enlarged on physical e#am.
+his patient is abo!t 11 ,g o"er his ideal body weight and has a BM2 of 0/.&, he no longer smo,es
anymore.

Learning Objeti!e :

Pr"b#e$ identi%iati"n :
1. 3reate a list of this patient4s dr!g related problems.
0. +his patient has established disease and has already been diagnosed with hypertension. 5hat
e"idence s!pports that his BP has been poor controlled 6
7. 5hat pathophysiologic mechanisms might e#plain the etiology of the ele"ated BP in this
patient6
1. 8!tline a specific and appropriate pharmacotherapy regimen for this patient, incl!ding dr!g,
dosage and sched!le.
%. 5hat non-pharmacologic therapies are necessary for this patient to obtain and maintain
ade$!ate BP red!ction 6

N&rsing Pr"ess :
1. 9ist the goals of antihypertensi"e therapy for this patient, incl!ding the desired BP range
0. 5hat sho!ld be assessed before administering the dr!g(s 6
7. 3reate some inter"entions in pharmacotherapy and non-pharmacologic therapies
administration.
1. :#plain the reason of each inter"ention.
%. Based on yo!r inter"entions, pro"ide appropriate co!nseling to this patient.
6. 5hat parameters sho!ld be monitored after initiating these changes 6