My instructor responded to our clinical case study of the 61-year-old patient with acute malignant hypertension. You finished it yesterday. I will post the question she asked at the end of this part of the post. Below you will find the REPOST of the assignment we finished yesterday…
A 61-year-old Black male with a history of hypertension presents to your clinic for complaints of headaches and blurred vision x 4 days. He denies any weakness, numbness, chest pain, shortness of breath, palpitations, or recent, illicit drug use. He states he has been compliant with his medications (hydrochlorothiazide and metoprolol), and he took his meds this morning.
His V/S include: B/P 190/100, P- 90, T- 98.9, R- 22. Recent labs show that TC- 260, LDL-190, HDL- 35, Trig- 320. He did not return for these results and did not start any new meds.
You completed the assignment yesterday and my instructor wanted a follow-up answer which I am posting below…
The patient would require a drip, my preference is Cardene, and from primary care, we would escalate to ER, which of course, they would send him to the ER. As his provider on the follow-up, what is your plan to create a trusting relationship for management/adherence?
So, what would you do to create a trusting relationship for management /adherence for this patient? This is the only question that needs to be answered.
Thanks! For more information on Clinical check on this: https://en.wikipedia.org/wiki/Clinical
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