Case I A 47 old male presents to your office for a yearly checkup. He smokes 40 cigarette/day, and examination detect wheezy chest and bronchospasm. His.

Slides:

Advertisements

Similar presentations

2 cases of hypertension Year 1 Michaelmas term 2006.

Advertisements

PAH Mohammad Ruhal Ain R Ph, PGDPRA, M Pharm (Clin. Pharm) Department of Clinical Pharmacy Salman Bin AbdulAziz University College Of Pharmacy.

Hypertension NPN 200 Medical Surgical I. Description of Hypertension Intermittent or sustained elevation in the diastolic or systolic blood pressure:

Treatment in Cardiac disease The PNs Roll Dr. Sergio Diez Alvarez Staff Specialist Physician Armidale Hospital.

The Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure Internal Medicine/Pediatrics.

Pathophsiology of Metabolism. Obesity What Is Obesity? Obesity means having too much body fat.

Hypertension – Summary

Dr Esther Tsang August 2011 Management of Diabetes Mellitus.

Review cases 14-Apr SA is a 47 years old male who developed crushing substernal chest pain around 10 pm, he didn’t went to the hospital, in the.

BHS Guidelines for the management of hypertension BHS IV, 2004 and Update of the NICE Hypertension Guideline, 2006 Guidelines for management of hypertension:

Pharmacological Treatment of Hypertension Update 2012.

MANAGEMENT HTN IN PREGNANCY. DEFINITIONS The definition of gestational hypertension is somewhat controversial. Some clinicians therefore recommend close.

Hypertension (HTN). What Is Hypertension Persistent blood pressure that is higher than the recommended blood pressure range Persistent blood pressure.

Drugs for Hypertension

Assessment, Targets, Thresholds and Treatment Bryan Williams NICE clinical guideline 127.

Illustrative Cases and Summary. A 50 year old European woman who is new to your practice comes to see you late on Friday afternoon with a sore throat.

Systemic Hypertension. Systemic blood pressure measures 140/90 mm Hg or higher on at least two occasions a minimum of 1 to 2 weeks apart.

1 The Study of Trandolapril- verapamil And insulin Resistance STAR determined whether glycaemic control was maintained to a greater degree by an RAS inhibitor/non-DHP.

Success and Predictors of Blood Pressure Control in Diverse North American Settings: The Antihypertensive and Lipid- lowering Treatment to Prevent Heart.

CARDIOVASCULAR MODULE: HYPERTENSION Adult Medical-Surgical Nursing.

0CTOBER 2010 An Approach for Sub-Saharan Africa. Dr. Linda Hawker, MD, CCFP General Practice Kelowna BC Canada.

1 Hypertension Overview. 2 Leading Risks For Death (World Health Organization 2002) Cholesterol Alcohol HYPERTENSION Tobacco use Overweight.

Shadi Al-Ahmadi. The Presentation will include: Hypertension Dyslipidemia CVD Type 2 Diabetes-Associated Retinopathy Diabetic Periphral Neuropathy Diabetic.

DR. ZAHOOR 1.  A 50 year old man presents to clinic with a complaint of central chest discomfort of 2 weeks’ duration, occurring after walking for more.

NICE GUIDELINES HYPERTENSION Masroor Syed. Latest Issue June 2006 Evidence Based uickrefguide.pdf

Investigations: Urine examination. Urine examination. Serum K. Serum K. Serum creatinine. Serum creatinine. Blood Sugar. Blood Sugar. Hb. Hb.

Hypertension (High Blood Pressure)

Hypertension NICE CG127 August Hypertension is not a disease it is a risk factor for cardiovasuclar disease (CVD)-it is a modifiable risk factor.

Headings The Place of Nutrition in the Prevention of Cardio-Vascular Diseases Headings Y. A. Carpentier CLINICAL CASE Nutritional Support in Cardio- Vascular.

Dyslipidemia.  Dyslipidemia is elevation of plasma cholesterol, triglycerides (TGs), or both, or a low high- density lipoprotein level that contributes.

Pre-participation Health Screening and Risk Stratifciaton KINE 4315 Lab.

Clinical Correlations The NYU Langone Online Journal of Medicine

Case 15 Andrea De Mesa. Patient history A 44 y/o male, single, undergoes cardiovascular screening on advice of his attending physician. He is a smoker.

Group work 5 Hypertension case discussions. Objectives At the end of this session, the trainees should: Be able to explain steps of correct BP measurement.

1 By Dr. Zahoor. Question 1 A 36 year old male patient presents with tiredness, headaches and following is the blood count:  Hb 9.2 g/dl  MCV 109 fl.

Hypertension BP ≥140/90 (WHO/ISH,1993) Isolated systolic hypertension: BP syst ≥ 140 mm Hg, BP diast. < 90 mm Hg.

7/27/2006 Outcomes in Hypertensive Black and Nonblack Patients Treated with Chlorthalidone, Amlodipine, and Lisinopril* * Wright JT, Dunn JK, Cutler JA.

Hypertension Family Medicine Specialist CME October 15-17, 2012 Pakse.

Section IV. Routine and Optional Laboratory Tests for the Investigation of Patients with Hypertension 2015 Canadian Hypertension Education Program Recommendations.

Understanding Your Heart. YOUR HEART HOW DOES IT WORK? WHAT IS CORONARY HEART DISEASE? WHY DOES IT HAPPEN? HOW IS IT TREATED? WHAT CAN YOU DO FOR YOUR.

Cardiovascular Disease Risk Stratification

Polypill x Aspirin Project Groups 3 and 4

HTN Cases Pharmacotherapy - 1. Case 1 TJ is a 45-year-old woman with a history of type 2 diabetes mellitus treated with glyburide 5 mg/ day. She.

CVD Epidemiology Case Studies Nathan D. Wong PhD, FACC, Associate Professor and Director, Heart Disease Prevention Program, University of California, Irvine.

Laboratory Testing For Cardiovascular Risk

Internal Medicine Workshop Series Laos September /October 2009.

© McGraw-Hill Higher Education. All Rights Reserved. Chapter Eleven Cardiovascular Health.

Case Presentation Done by: Lara Abbar Hadeel Al-Shareef Sarah Ghassal Raghad Bajaber Alia Al-Sayed Raghdah Mandili.

CLINICAL ASPECTS OF HYPERTENSION APPROACH TO THE PATIENT WHEN HYPERTENSION IS SUSPECTED, BP SHOULD BE MEASURED AT LEAST TWICE DURING TWO SEPARATE EXAMINATIONS.

A 56-year-old patient complains of chest pain following any sustained exercise. He is diagnosed with atherosclerotic angina. He is prescribed sublingual.

Defining hypertension

Drugs for Hypertension

Hypertension Hanna K. Al-Makhamreh, MD FACC Interventional Cardiology.

CASE HISTORY ISCHEMIC HEART DISEASE

Udayan Bhatt, MD MPH OSU Nephrology

Hypertension Pharmcology.

Treatment Thresholds and Non-Pharmacologic Therapy

The Anglo Scandinavian Cardiac Outcomes Trial

ASSOCIATIONS OF METABOLIC SYNDROME COMPONENTS WITH CRITERIA FOR THE CLINICAL DIAGNOSIS OF THE METABOLIC SYNDROME AS PROPOSED BY THE NCEP-ATP III Metabolic.

HTN Cases Pharmacotherapy - 1.

Hypertension Case Study

Anti hypertensive Drugs

Pharmacological Treatment of Hypertension Update 2012

Train-the-Trainer Cases

Internal Medicine Workshop Series Laos September /October 2009

Train-the-Trainer Cases

Understanding Blood Pressure

Presentation transcript:

Case I A 47 old male presents to your office for a yearly checkup. He smokes 40 cigarette/day, and examination detect wheezy chest and bronchospasm. His blood pressure is 175/105 mm Hg. (measured more than once). His fundoscopic examination is normal. 1-Mention the stage of hypertension in this case? 2-Mention the investigations of a patient with hypertension? 3-What is the goal of hypertension therapy ? 4-What are the most common drug classes in therapy of hypertension now ?

5-What are other drug classes used for treatment of hypertension ? Can you start with thiazide in this case? 6-What is the mechanism of action of the thiazide in this case ? 7-Mention the adverse effects of the thiazide ? 8-After 2 weeks of therapy the patient bl.pr. became 150/95 do you recommend adding a new drug? 9- What, and why? 10-What is the mechanism of action of this drug As antihypertensive ? 11-What is the possible side effects in this patient ? 12-If the patient develop bradycardia ( 60 beats/min ), how to deal with ?

Case II A male patient is presented to you by moderate degree of hypertension and chronic renal impairment ( serum creatinine 4 mg /dl ). Can you give diuretic in this case ? what and why ? Can you give ACE inhibitors in this case? When? and Why? What are other safe drugs used for treatment of hypertension in presence renal insufficiency? Mention antihypertensive drug/s contraindicated in treatment of hypertension with renal failure?

Case III A 35 old obese pregnant lady with moderate degree of hypertension and What is your advice as regard to diet in this case? What is /are the antihypertensive drugs/s of choice? Mention mechanism of action of methyldopa as antihypertensive? What are antihypertensive drugs absolutely contraindicated in pregnancy and why?

Case IV A 45 old diabetic female presented in your office with headache and dizziness, her blood pressure 170/100 and fasting blood glucose level 130 mg/dl and postprandial blood glucose 160 mg/ dl, she is controlled by glimpride drug. Mention antihypertensive drug/s used in this case? What are antihypertensive drugs contraindicated in this case? Why?

Case V If you are faced with a male patient with hypertension and left sided congestive heart failure, what are the antihypertensive of choice in this case and what is/are the drug/s contraindicated and why?

Case VI Patient with hypertension and elevated cholesterol and triglyceride What are antihypertensives that can be used ? What are antihypertensives that are contraindicated ?

Case VII How can you treat a patient in a state of hypertensive emergency?

Case : A 56 year old obese male lawyer was found to have a blood pressure of 180/110mmHg during routine checkup, otherwise he was clinically free. The same BP was noted on three subsequent visits. He smoked at least 30 cigarettes a day for 20 years. How would you proceed to manage this case? Case : A 58 year old professor complained of headache. His blood pressure was found to be 220/115 mmHg and there was no evidence of cardiac failure or renal impairment. How would you treat this patient? Case: A 47 year old man presented with a history of attacks of chest pain provoked by exertion and relieved by rest. Exercise stress test was performed and the patient was diagnosed as (exertional angina pectoris).How would you proceed to manage this man taking in consideration that his blood pressure was 170/100 mmHg and that he is a heavy smoker?