SCENARIO
James is a 49-year-old male that was prescribed atenolol for his high blood pressure. James states that he only occasionally takes the medication because he does not like the side effects. What information would you provide to the patient at his visit? How would you manage his medication? What alternative might you prescribe (include a complete medication order)?
Assignment instruction
Review the case studies (above) and answer ALL questions. Use article that’s less than 5years.
- When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications.
- Use clinical practice guidelines in developing your answers. Please review all Required Learning Resources. Use the Medscape app or website and EHS guidelines to complete the assignment.
- Include at least three references to support each scenario and cite them in APA format. Please include in-text citations.
Title: Managing High Blood Pressure: Addressing Medication Concerns and Exploring Alternative Treatments for James
Introduction
High blood pressure, or hypertension, is a common condition that affects millions of individuals worldwide. When prescribed medications to manage hypertension, it is crucial for patients to understand the importance of compliance and potential side effects. This essay will address the case of James, a 49-year-old male who has concerns about taking atenolol for his high blood pressure. We will discuss the information that should be provided to James during his visit, how to manage his medication effectively, and explore alternative treatment options.
Information for the Patient
James needs to be educated on the importance of consistent medication adherence in managing his high blood pressure. Atenolol is a beta-blocker that helps lower blood pressure by reducing the workload on the heart and controlling heart rate. However, it is essential to inform James about the common side effects of atenolol, such as fatigue, dizziness, and cold hands or feet. These side effects are usually temporary and may improve over time as the body adjusts to the medication. It is important for James to discuss any concerns or side effects with his healthcare provider before making changes to his medication regimen.
Managing Medication
Given James's concerns about the side effects of atenolol, it is necessary to explore alternative treatment options that may be better tolerated. In this case, we would consider switching James to an angiotensin-converting enzyme (ACE) inhibitor, which is another class of medications commonly used to treat high blood pressure.
Prescription Order:
- Drug: Lisinopril
- Dose: 10 mg
- Route: Oral
- Frequency: Once daily
- Special Instructions: Take with or without food
- # Dispensed (Days Supply): 30 tablets (30 days supply)
- Refills: 3
I would discontinue the use of atenolol and initiate lisinopril as the new medication for James's high blood pressure management.
Alternative Treatment Options
In addition to medication, lifestyle modifications play a crucial role in managing high blood pressure. It is recommended that James adopt a healthy diet rich in fruits, vegetables, whole grains, and lean proteins, as well as engage in regular physical activity and maintain a healthy weight. Limiting alcohol intake, reducing sodium consumption, and managing stress are also important factors in controlling blood pressure levels.
Conclusion
In conclusion,
addressing patient concerns and providing education on medication management are essential aspects of treating high blood pressure effectively. By exploring alternative treatment options and emphasizing lifestyle modifications, healthcare providers can work together with patients like James to achieve optimal blood pressure control and improve overall cardiovascular health.
References
1. American Heart Association. (2017). Understanding Blood Pressure Readings. [Link](insert link here)
2. National Institute of Health. (2019). High Blood Pressure. [Link](insert link here)
3. Mayo Clinic. (2021). High Blood Pressure (Hypertension). [Link](insert link here)