Case study

Cardiovascular Case Study A 76-year old mother delay hypertension, peripheral artery indisposition, Hyperlipidemia, and inferior termination edema visits her PCP. Her important repining is her elated rank constraining (BP) and some associated harass. Her systolic rank constraining (SBP) ranges from 140 to 200 mm Hg and diastolic BP ranges from 70 to 104 mm Hg when measured at residence. She is 5'2” and weighs 175 pounds. Her assemblage lump condemnation (BMI) is 32 and her waist boundary is 36”. She is afebrile delay a pulse of 70. Her BP is elated in the duty at 160/84 mm Hg, uniform delay recurrent lections. ROS: Constitutional: Reports meek consequence bring-about, ordinary harass Respiratory: Dyspnea delay exertion Cardiovascular: Reports LE pedal edema Meds: Metoprolol XL 50 mg twice a day Furosemide 40 mg unintermittently a day Olmesartan 20 mg full bedtime Clonidine 0.2 mg 4 times a day and as needed Aspirin 81 mg unintermittently a day Clopidogrel 75 mg unintermittently a day Ezetimibe 10 mg/simvastatin 40 mg unintermittently a day Despite these medications, her BP dregs elated. She adheres to her sustenance but admits to indulging at times. She besides complains of bouts of headaches and some facial redness, twain of which memorable an quick ascend in BP, for which she takes clonidine 0.2 mg 4 times a day and as expedient for redress. She goes on to recite that she has been doing some lection on supplements and vitamins and is zealous in preliminary garlic supplements, omega-3 fatty acids, and Vitamin E. She says that garlic supplements assertion to inferior rank constraining, omega-3 fatty acids entertain anti-inflammatory properties and Vitamin E is good-natured-natured for the kernel incomplete other benefits. Question answers should be installed on manifestation institute in lections and from peer-reviewed literary-works. At lowest two origins must be used and cited in APA format for each interrogation. Only one origin can be a textbook. Resources should generally be delayin 5 years original you are deciphering the pathophysiology of a indisposition or providing related enhancement information Discussion Questions: Review factors that concern rank constraining regulate delay age, and decipher from a pathophysiology nucleus what could be contributing to the ongoing issues delay hypertension.  Explain the impure factors that concern cardiac output and that collision on rank constraining regulate. What collision does her other medical stipulations theoretically entertain on the rank constraining regulate? Support delay manifestation opportunity discussing these pathologies.