NURSING NR 603 Week 3 assignment f

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What Leads Demonstrate the ST Depression? ST depression is present in leads I, II, aVF, V3, V4, V5, and V6. Is Lorene Hypertensive per ACA 2017 Guidelines? Compare the ACA guidelines to JNC 8 gu... idelines and discuss what treatment you recommend for her BP and why. The patient has stage 2 hypertension based on the 2017 American College of Cardiology guidelines. Whelton et al. (2017) discussed that stage 2 hypertension has an increasing risk of developing coronary vascular disease as a “normal” blood pressure progresses to stage 2 hypertension. The JNC 8 guidelines determine management of blood pressure by the patient’s age and co-morbidities, whereas the ACA stages one’s hypertension stage by the blood pressure readings regardless of age and co-morbidities. James et al. (2014) discussed that an acceptable blood pressure for a patient who is older than 60 years without co-morbidities, such as chronic kidney disease or diabetes, is 150/90. The goal for blood pressure treatment for a patient younger than 60 years of age remains the same for adults older than 60 years of age with co-morbidities, which is a blood pressure lower than 140/90. The ACA guidelines rank hypertension from normal, elevated, stage one and two hypertension based on the systolic and diastolic readings, and the treatment approach depends on which stage the patient is in. The patient requires initiation of blood pressure medication to lower her blood pressure and risk for cardiovascular disease. The patient believes this visit is unnecessary, and she believes her daughter forced her to come to this visit today. Although, the patient had a symptomatic episode, such as discomfort between her shoulder blades, lasting thr [Show More]

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