NURS 6620 HTN and Diabetes Shadow Health Focused Exam 2020 GRADED A

NURS 6620 HTN and Diabetes Shadow Health Focused Exam 2020 Hello Mr Patel, my name is an FNP student and I will be taking care of you today Greet 06/18/20 10:15 PM CDT Hey. what brings you in today? Q uestion 06/18/20 10:15 PM CDT I'm here to check up on some numbers that I have for my diabetes and my hypertension. Guess they're not looking too hot. i'm glad you followed up on the numbers, we can plan a better regimen to help improve the numbers Educate 06/18/20 10:16 PM CDT Alright. I get it. Can you please tell your medical history? Question 06/18/20 10:17 PM CDT I've had hypertension and diabetes for some time now, but recently I've had some new stuff going on, or I guess it could be related. I've gained some weight over the past three months or so, and I've just been all around tired and uncomfortable. I've also had to pee pretty frequently, and I've been ridiculously thirsty. I am sorry to hear that, that must have been challenf=ging Empathize 06/18/20 10:19 PM CDT Well, gee. Thanks. your symptoms are related to diabetes and hypertension Question 06/18/20 10:20 PM CDT I don't have any allergies that I know of. Any other symptom apart from the ones you mentioned? Question 06/18/20 10:22 PM CDT I've had hypertension and diabetes for some time now, but recently I've had some new stuff going on, or I guess it could be related. I've gained some weight over the past three months or so, and I've just been all around tired and uncomfortable. I've also had to pee pretty frequently, and I've been ridiculously thirsty. Do you have any pain? Question 06/18/20 10:22 PM CDT I'm not in any pain. [AUDIO COMING SOON] Any recent hospitalizations? Question 06/18/20 10:23 PM CDT I haven't ever been hospitalized in that sense of the word. But I have seen a doctor before, about my hypertension and diabetes numbers, and I'm here to check in about them. What medication are you taking? Question 06/18/20 10:23 PM CDT Hydrochlorothiazide for my hypertension, metformin for diabetes, and escitalopram for anxiety. Do you take any other non prescription medication? (Clarified to Are there other prescriptions you are taking that we haven't discussed?.) Question 06/18/20 10:25 PM CDT Nothing besides hydrochlorothiazide, metformin, and escitalopram. (Clarified to if I am taking other prescriptions.) How often do you take your medications Question 06/18/20 10:25 PM CDT I take all my meds every day . . . the metformin is three times a day, and the water one and the anxiety one are both once a day. Do you have any reaction from tis meds (No matching questions found.) Question 06/18/20 10:26 PM CDT - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Model Statement: This medication is designed to treat high blood sugar, so it is important to watch out for signs of your blood sugar getting too low. Signs of hypoglycemia include headaches, irritability, dizziness, confusion, hunger, and shakiness. Make sure to keep something with sugar in it on hand in case you experience these symptoms. The importance of routine follow-ups It is important you check your blood glucose regularly and it is of utmost importance to make an appointment for follow up to let us know the medication regime is working for you Statement 19/6/2020 4:17:40 AM Oh, alright. Model Statement: Beginning any new medication requires routine follow-ups to monitor potential adverse effects and to ensure the medication is working. lisinopril / hydrochlorothiazide 4.5 out of 5 Model Plan • (1 point) Take the next dose immediately if you miss a dose • (1 point) Discontinue previous medication • (1 point) Seek emergency help if you show signs of a severe allergic reaction • (1 point) Contact your healthcare provider if you experience signs of low blood pressure • (1 point) Contact your healthcare provider if you experience signs of angioedema Topics priorized for patient teaching Education Items • (1 point) Take the next dose immediately if you miss a dose • (0.5 points) Common adverse effects include cough, fatigue, and headache • (1 point) Seek emergency help if you show signs of a severe allergic reaction • (1 point) Contact your healthcare provider if you experience signs of angioedema • (1 point) Avoid standing too quickly Take the next dose immediately if you miss a dose I will also be changing you blood pressure medication, make sure when you miss a dose, take it as soon as you remember, if its close to the next dose, skip and take the next dose Statement 19/6/2020 4:19:01 AM OK. Yeah, that's pretty important. Will do. Model Statement: If you miss a dose, take the next dose immediately unless it is almost time for your next scheduled dose. Common adverse effects include cough, fatigue, and headache common expected adverse effect of this medication include fatigue, cough and headache, take the medication with food o avoid GI upset, If the cough gets really bothersome, contact your provider immediately Statement 19/6/2020 4:20:53 AM Thanks for the heads up. Model Statement: Common adverse effects of this medication include cough, fatigue, and headache. Seek emergency help if you show signs of a severe allergic reaction If there is any allergic reaction like shortness of breathe or swelling in your throat or rashes hives call 911 or contact an emergency room immediately Statement 19/6/2020 4:21:49 AM You're scaring me. Model Statement: Seek emergency help immediately if you show signs of a severe allergic reaction such as swelling in your face and throat, hives, stomach pain, and difficulty breathing. Contact your healthcare provider if you experience signs of angioedema Contact your healthcare provider if you have any form of swelling in your throat Statement 19/6/2020 4:22:38 AM Ah. Alright. Model Statement: Contact your healthcare provider if you experience signs of angioedema. Avoid standing too quickly Avoid standing too quickly to avoid dizziness and falls Statement 19/6/2020 4:23:00 AM Hmm. Alright. Model Statement: Avoid standing too quickly from a prone position, as this may cause dizziness. Brace yourself and stand gradually.