Cardiac Case Study NGN
A 49-year-old client is seen in
clinic for a follow-up visit since
starting enalapril for primary
hypertension at her last visit 1
month ago. She reports nausea
and diarrhea for the past few
weeks and is not sure what is
causing these symptoms
because she has implemented
,various lifestyle changes. She
has a medical history significant
for dyslipidemia, which is
treated with simvastatin, and
type 2 diabetes mellitus, which
is managed with insulin. Since
her last visit, she has increased
exercise, uses potassium
supplements instead of sodium
when cooking, and has
eliminated alcohol. Vital signs
are temperature of 98.6°F
, (37°C), heart rate of 80 beats
per minute, respiratory rate of
20 breaths per minute, blood
pressure of 126/78, and pulse
oximetry reading of 97%. -
ANSWER-Laboratory Value
Today's Result
Result From 1 Month Ago
Reference Range
Alanine aminotransferase (ALT)
17 U/L
A 49-year-old client is seen in
clinic for a follow-up visit since
starting enalapril for primary
hypertension at her last visit 1
month ago. She reports nausea
and diarrhea for the past few
weeks and is not sure what is
causing these symptoms
because she has implemented
,various lifestyle changes. She
has a medical history significant
for dyslipidemia, which is
treated with simvastatin, and
type 2 diabetes mellitus, which
is managed with insulin. Since
her last visit, she has increased
exercise, uses potassium
supplements instead of sodium
when cooking, and has
eliminated alcohol. Vital signs
are temperature of 98.6°F
, (37°C), heart rate of 80 beats
per minute, respiratory rate of
20 breaths per minute, blood
pressure of 126/78, and pulse
oximetry reading of 97%. -
ANSWER-Laboratory Value
Today's Result
Result From 1 Month Ago
Reference Range
Alanine aminotransferase (ALT)
17 U/L
