Case Study 2 – Hypertension Carl is a 62-year old male who has been an avid exerciser for many years. He helps conduct fitness tests for many community participants and has been a runner for over 30 years. He stopped smoking 30 years ago as well. He has been pretty healthy but recently has noticed his blood pressure is a little higher than it used to be. His physician last saw him in 2022, and at that time was aware that Carl’s resting BP values were slightly elevated but was not concerned. Carl explains his physician knows that he has a Type A personality and is always super busy. He is interested in joining your facility since the weather is going to be too hot to run outdoors for a few months, and he wishes to train for an event (10K) early next year. Here is his resting information: Heart rate: 58 bpm Blood Pressure: 138/92 Weight: 178Height: 5’11” His exercise blood pressure from the fitness test your co-workers conducted got up to 204/112. 1) What would you discuss with Carl about initiating an exercise prescription for him? Please think through what limits you need to consider for his blood pressure before, during exercise, and at what BP is it too high to start or continue exercise? 2) What other considerations/thoughts should you put into this client with Hypertension? What are some things you will have to look out for in his program?

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Case Study 2 – Hypertension Carl is a 62-year old male who has been an avid exerciser for many years. He helps conduct fitness tests for many community participants and has been a runner for over 30 years. He stopped smoking 30 years ago as well. He has been pretty healthy but recently has noticed his blood pressure is a little higher than it used to be. His physician last saw him in 2022, and at that time was aware that Carl’s resting BP values were slightly elevated but was not concerned. Carl explains his physician knows that he has a Type A personality and is always super busy. He is interested in joining your facility since the weather is going to be too hot to run outdoors for a few months, and he wishes to train for an event (10K) early next year. Here is his resting information: Heart rate: 58 bpm Blood Pressure: 138/92 Weight: 178Height: 5’11” His exercise blood pressure from the fitness test your co-workers conducted got up to 204/112. 1) What would you discuss with Carl about initiating an exercise prescription for him? Please think through what limits you need to consider for his blood pressure before, during exercise, and at what BP is it too high to start or continue exercise? 2) What other considerations/thoughts should you put into this client with Hypertension? What are some things you will have to look out for in his program?

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