Clinical Assessment and Management of Hypertension in a 48-Year-Old Male with Cardiovascular Risk Factors
Overview
This case study examines a 48-year-old male presenting with elevated home blood pressure readings and multiple cardiovascular risk factors including smoking, family history of heart disease, and abnormal lipid profiles. The analysis documents the patient's subjective complaints, objective clinical findings, and laboratory results to inform clinical decision-making and nursing interventions for hypertension management.
What this case study covers
- Subjective assessment including patient history, lifestyle factors, medications, and symptom review
- Objective findings documenting vital signs, physical examination, and laboratory values
- Clinical significance of cardiovascular risk factors and family history
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NU610 U5 Case Study
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NU610 U5 Case Study
Subjective (S): The patient is a 48-year-old male who has come to the clinic after his home blood pressure readings started rising. He has been living alone since his wife passed away three years ago. Although the patient has reduced his alcohol consumption to three drinks a week, he has been smoking one packet of cigarettes daily for the past two years to deal with his loneliness. The patient has been taking cetirizine (10mg daily) for his allergy: he is sensitive to dust, pollen, and insect bites. There is no other medication history. He states that he has started eating healthier meals, although he finds it challenging to reduce his sodium intake. Moreover, he reports having nose bleeds at random hours of the day and lasting several minutes. The patient denies any congestion or chest pain episodes: he reports having “minimal chest discomfort” while walking his dog. However, he reports no pain in his joints or calves when exercising. The patient does not report any headaches, palpitations, or blurry vision. The patient’s father died of congestive heart failure at age 65. Their family history is positive for heart disease, with two of his elder siblings suffering from myocardial infarction.
Objective (O): The patient is 5’11” and 224 pounds. BP 148/75, P 80, R 17, Temp 98.