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    Hypertension 1

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    Albert Tesoro Silang Jr.
    A 70-year-old man presented for a cholecystectomy with very high blood pressure of 230/120 mm Hg, low potassium levels, and was taking propranolol and hydrochlorothiazide medications; his hematocrit was normal but sodium levels were slightly elevated. This patient has severe hypertension, hypokalemia, and is on medications for hypertension that need to be considered for perioperative management of his blood pressure and electrolyte abnormalities. His medical conditions and medications increase his risk for complications from surgery and will require careful monitoring and treatment of his blood pressure and electrolytes.

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    Hypertension 1

    Uploaded by

    Albert Tesoro Silang Jr.
    6 views1 page
    A 70-year-old man presented for a cholecystectomy with very high blood pressure of 230/120 mm Hg, low potassium levels, and was taking propranolol and hydrochlorothiazide medications; his hematocrit was normal but sodium levels were slightly elevated. This patient has severe hypertension, hypokalemia, and is on medications for hypertension that need to be considered for perioperative management of his blood pressure and electrolyte abnormalities. His medical conditions and medications increase his risk for complications from surgery and will require careful monitoring and treatment of his blood pressure and electrolytes.

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    Case Study on Hypertension

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    A 70-year-old man presented for a cholecystectomy with very high blood pressure of 230/120 mm Hg, low potassium levels, and was taking propranolol and hydrochlorothiazide medications; his hematocrit was normal but sodium levels were slightly elevated. This patient has severe hypertension, hypokalemia, and is on medications for hypertension that need to be considered for perioperative management of his blood pressure and electrolyte abnormalities. His medical conditions and medications increase his risk for complications from surgery and will require careful monitoring and treatment of his blood pressure and electrolytes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    6 views1 page

    Hypertension 1

    Uploaded by

    Albert Tesoro Silang Jr.
    A 70-year-old man presented for a cholecystectomy with very high blood pressure of 230/120 mm Hg, low potassium levels, and was taking propranolol and hydrochlorothiazide medications; his hematocrit was normal but sodium levels were slightly elevated. This patient has severe hypertension, hypokalemia, and is on medications for hypertension that need to be considered for perioperative management of his blood pressure and electrolyte abnormalities. His medical conditions and medications increase his risk for complications from surgery and will require careful monitoring and treatment of his blood pressure and electrolytes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    A 70-year-old man with cholelithiasis was scheduled for a cholecystectomy.

    His blood pressure (BP)


    was 230/120 mm Hg; pulse 60 beats/minute. Hematocrit was 38%; serum sodium, 140 mEq/L; and
    serum potassium, 2.7 mEq/L. His medications included propranolol and hydrochlorothiazide

    Medical Disease and Differential Diagnosis

    1. Define hypertension and classify its severity.

    2. What is the prevalence of hypertension?

    3. What is the general classification of hypertension? Enumerate the causes of each


    type of hypertension.

    4. What are the usually clinical patterns of hypertension encountered?

    5. What is the pathophysiology of essential hypertension?

    6. What are the end-organ damages caused by longstanding hypertension?

    7. Are hypertensive patients at an increased risk of perioperative cardiac morbidity?

    8. Are hypertensive patients at increased risk for perioperative cerebral and renal
    complications? Why?

    9. Would you employ a controlled hypotensive technique for hypertensive patients?


    How much would you safely lower the blood pressure (BP)?

    10. What is the mechanism of action of antihypertensive drugs?

    11. Does the choice of antihypertensive therapy influence hemodynamic responses to


    induction, laryngoscopy, and intubation?

    12. Does chronic angiotensin-converting enzyme (ACE) inhibition influence anesthetic


    induction?

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