2014 Evidence Based Guideline for the Management of High Blood Pressure in Adults (JNC 8 Panel Members)- are available online at http://www.hipertansiyonmd.com/wp-content/uploads/JNC-8.pdf (Links to an external site.)Links to an external site.. (you may need to copy and paste the web address into your browser search window). 

A preview of the new 2014 Hypertension Guideline Management Algorithm published in JAMA 2014 Hypertension Guideline Algo_image.png

Contrast the 2014 (JNC-8) with The original 7th JNC hypertension guidelines discussed in your text. The full Guideline is available online at http://www.nhlbi.nih.gov/guidelines/hypertension/index.htm (Links to an external site.)Links to an external site.

Please address ALL four situations presented below in your Case Study Response. A minimum of three credible (ie, research based, clinically relevant and published within past 4 years) APA formatted resources are required for this assignment.

Situation 1:

You are practicing in a primary care office. You are seeing an obese (BMI 32) 50 year old man for a routine physical exam. He is not in acute distress. He has had two previous consecutive blood pressure readings of >148/92 (at two separate primary care visits) with patient quietly seated. Today is his third reading 158/94. No other co-morbid conditions are identified. What other diagnostic criteria would you require? What is your diagnosis–based on what criteria? What is your medication of choice for this patient (drug class, individual drug in class, dose, frequency and titration) and why–what is your rationale for this choice? What life-style changes are indicated? When would you like to see this patient in follow up? 1 PAGE 

Situation 2:

In the event that your hypertensive patient has pre-existing asthma which class of drug, frequently used to treat hypertension may be contraindicated for him? What is your rationale? 1 PAGE 

Situation 3:

Your hypertensive patient has now been diagnosed with diabetes, which antihypertensive class would be first choice for this patient be specific. What is your rationale for prescribing this/these drug(s)? 1 PAGE

Situation 4:

Your hypertensive patient has left ventricular dysfunction which antihypertensive drug class(s) would also benefit this patient? What is your rationale for prescribing this/these drug (s)? 1 PAGE 

our book is Pharmacotherapeutics for Advanced Practice Nurse Prescribers 4th edition Teri Moser Woo

NOTE : 

Case studies are to be written in a scholarly manner, content of case reflects critical thinking (rationale), and supported with current clinical resources (not lay/patient education publications!) the use of evidence-based literature is strongly encouraged (minimum of three credible sources/case study), and referenced using APA format.

It is expected that you will provide a scholarly paper that addresses all aspects of the case study. You will be evaluated on scholarly tone and presenting organized original thought supporting your conclusions. The paper will be free of grammatical or spelling errors. 10 Points

It is best to approach the case as if you are seeing this patient in the clinical setting, assessing, diagnosing (considering differential diagnoses), and selecting a treatment option (s) based on the patient’s unique history and physical exam, co morbid conditions, economic, social and cultural needs. 25 Points

Discuss the case as if you are presenting to your clinical preceptor providing the rationale (critical thinking) for your medication and non-medication treatment choices (“think out loud”). This includes the drug class, drug in class, dose, route, frequency and titration supported by rational for your treatment selection via professional reference. You are to provide important patient education (ADRs, side effects, drug-drug interactions) for any medications prescribed. 50 Points

References (minimum of three) should be in APA format and should support your treatment decisions. References should be from a current (no older than 5 years), credible medical/Professional resource, such as evidence-based guidelines, current peer review journal article, or other clinical resource (not lay publications, not patient education resources, not for example, Wikipedia, teaching pamphlets, Web MD, or other nonprofessional internet sources). Google is not considered a scholarly or academic research engine and should be used minimally.