Chapter 22, Problem 1CS

(1)

Summary Introduction

To determine:

What type of diuretic was probably prescribed for G. at this time? Explain your answer.

Case summary:

Hypertension was diagnosed in G., who is 30 years of age. Both her mother and sister have hypertension, and both were also in their thirties when it was diagnosed. G’s most current blood pressure reading is 150/96 mm/Hg, and for this reason, the nurse practitioner recommended therapy with captopril (Capoten), light exercise in the form of walking, and relaxation therapy. After a month of therapy, G.’s blood pressure is 145/86 mm Hg. Stress reduction has been the biggest obstacle in her treatment because she is a lawyer with a prominent law firm and has found that her blood pressure is consistently elevated (160/100 mm Hg) whenever she measures it at work. At this follow-up visit, she is also given a prescription for a diuretic to help with her blood pressure control. She plans to consult a therapist to work on stress-reduction techniques and to begin exercising regularly.

(2)

Summary Introduction

To determine:

The possible adverse effects G. needs to be aware of while taking captopril.

Case summary:

Hypertension was diagnosed in G., who is 30 years of age. Both her mother and sister have hypertension, and both were also in their thirties when it was diagnosed. G’s most current blood pressure reading is 150/96 mm/Hg, and for this reason, the nurse practitioner recommended therapy with captopril (Capoten), light exercise in the form of walking, and relaxation therapy. After a month of therapy, G.’s blood pressure is 145/86 mm Hg. Stress reduction has been the biggest obstacle in her treatment because she is a lawyer with a prominent law firm and has found that her blood pressure is consistently elevated (160/100 mm Hg) whenever she measures it at work. At this follow-up visit, she is also given a prescription for a diuretic to help with her blood pressure control. She plans to consult a therapist to work on stress-reduction techniques and to begin exercising regularly.

(3)

Summary Introduction

To determine:

G. tells that she uses an over-the-counter pain reliever for occasional headaches. What potential interaction is her concern?

Case summary:

Hypertension was diagnosed in G., who is 30 years of age. Both her mother and sister have hypertension, and both were also in their thirties when it was diagnosed. G’s most current blood pressure reading is 150/96 mm/Hg, and for this reason, the nurse practitioner has recommended therapy with captopril (Capoten), light exercise in the form of walking, and relaxation therapy. After a month of therapy, G.’s blood pressure is 145/86 mm Hg. Stress reduction has been the biggest obstacle in her treatment because she is a lawyer with a prominent law firm and has found that her blood pressure is consistently elevated (160/100 mm Hg) whenever she measures it at work. At this follow-up visit, she is also given a prescription for a diuretic to help with her blood pressure control. She plans to consult a therapist to work on stress-reduction techniques and to begin exercising regularly.

(4)

Summary Introduction

To determine:

G. states that she and her husband are planning to start a family in 1 year. What will you, as her nurse, tell her about pregnancy and therapy with these drugs.

Case summary:

Hypertension was diagnosed in G., who is 30 years of age. Both her mother and sister have hypertension, and both were also in their thirties when it was diagnosed. G’s most current blood pressure reading is 150/96 mm/Hg, and for this reason, the nurse practitioner has recommended therapy with captopril (Capoten), light exercise in the form of walking, and relaxation therapy. After a month of therapy, G.’s blood pressure is 145/86 mm Hg. Stress reduction has been the biggest obstacle in her treatment because she is a lawyer with a prominent law firm and has found that her blood pressure is consistently elevated (160/100 mm Hg) whenever she measures it at work. At this follow-up visit, she is also given a prescription for a diuretic to help with her blood pressure control. She plans to consult a therapist to work on stress-reduction techniques and to begin exercising regularly.