Case Study Analysis: Hypertension, Symptoms, and Treatment

The assignment presents a case study focusing on hypertension, exploring the diagnostic process and potential related conditions. The study begins by outlining key questions a nurse would ask the patient, such as family history of obesity, presence of pain, joint stiffness, and dysuria, to gather comprehensive information for an accurate diagnosis. It then details the diagnostic tests, including urine dipstick and electrocardiogram, used to rule out heart failure and other complications. The case study identifies potential diagnoses, including polycystic kidney disease leading to chronic kidney disease, heart failure due to hypertension, and obesity. The management plan emphasizes dietary changes, such as low sodium intake and reduced steak consumption, along with antibiotic administration to address urinary tract infections. The care plan aims to promote the patient's health and well-being through a multifaceted approach to managing hypertension and its associated risks.

Case study of hypertension 1
CASE STUDY OF HYPERTENSION
Student’s Name
Institutional Affiliation

Case study of hypertension 2
There are a number of questions that a nurse would ask the patient in the case study. The
purpose of the questions is to seek clarity so as to come up with an accurate diagnosis care plan.
One of the questions a nurse would ask is whether there is any family history of obesity. The
relevance of this question is to understand the increased weight gain by the patient and link it to
the risk of becoming obese. This allows the nurse to incorporate ways to manage the weight gain
in the care plan. Another useful question would be asking the patient whether there are any signs
of pain and radiation of the same. This information is important in incorporating pain
management in the care plan.
The third question useful is whether the patient experiences any joint stiffness and pain.
As stated by Ma & Guan (2018), elevated levels of blood urea nitrogen could signify gout. This
can be the case since the patient takes steak frequently. Another question would be whether the
patient experiences any dysuria. This will help understand whether there are any urinary tract
infections and administer antibiotics. Another question would be to ask the patient of any signs
of shortness of breath. This would help rule out myocardial infarction or heart failure linked to
hypertension.
There are several diagnostic tests that I would run on the patient. The first one would be
to use a urine dipstick to look for any hematuria and proteinuria. Another diagnostic test would
be performing an electrocardiogram so as to rule out heart failure linked to hypertension. There
are a number of potential diagnoses for the patient in the case study. The first one and the most
likely is that the patient could be suffering from polycystic kidney disease that could progress to
chronic kidney disease. This is because of the elevated blood urea nitrogen. Another potential
diagnosis would be heart failure as a result of hypertension.

Case study of hypertension 3
Hypertension is a risk factor associated with heart failure (Chapman et al, 2015). This is
indicated by the state of polyuria. Another potential diagnoses would be obesity. It is highly
associated with increased blood pressure and therefore could be the case. The management of
this condition requires administration of antibiotics to treat any urinary tract infections that
worsen the cysts in the kidney. The care plan should aim at promoting health of the individual.
The patient should be advised on diet change that include low sodium intake and limited steak
consumption.

Case study of hypertension 4
REFERENCES
Ma, S., & Guan, K. L. (2018). Polycystic kidney disease: a Hippo connection. Genes &
development, 32(11-12), 737-739.
Chapman, A. B., Devuyst, O., Eckardt, K. U., Gansevoort, R. T., Harris, T., Horie, S., ... &
Pirson, Y. (2015). Autosomal-dominant polycystic kidney disease (ADPKD): executive
summary from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies
Conference. Kidney international, 88(1), 17-27.