High Blood Pressure Case Study

Laarni M. Unito BSN-IV

Wilbert C. Codilla,RN,MAN

Journal

Patient M.J,N, a 39 year old, female,married, Filipino and a licensed Civil Engineer. Previously worked in municipality as a Municipal Engineer,and on June of 2016,decided to accept the job as a professor in CTU. She taught 5 different subjects,Algebra,Trigonometry, Integral Calculus,Autocad,and engineering major subject.

Patient undergone CS last April 6,2004, an emergency since patient experienced HPN.That’s the the time patient was diagnosed HPN at the age of 23, the time she gave birth. From 2004-2008 patient doesn’t have any maintainance to control HPN.Last 2008, patient sought consultation, and diagnosed with heart enlargement and HPN, since then patient adhere to maintain Norvasc (Amlodipine). Both patient’s parents have HPN but controlled-medication, diet and exercise are strictly followed.

According to patient’s husband, that his wife’s condition got worsen from the time she accepted the offer as a professor. June of 2016, patient experienced intermittent fever and did not find ways to have herself seek medical consultation. Patient was so busy as a teacher, a mother and also attending to their small business. On September of 2016, after a huge stress after celebrating her husband’s birthday, patient experienced weakness and nosebleed, and rushed in UCMed Mandaue, she was confined and doctors found out that her creatinine was way too high, and fistula was inserted to start dialysis immediately. After discharged, patient have her self undergone dialysis twice a week up until December of 2016 and stopped hemodialysis from January 2017-September 2017 until patient experienced difficulty of breathing and vommiting. She was rushed to VSMMC last September 9,2017, and found out that her creatinine level reached 13.84 mg/dl, high or elevated creatinine signifies impaired kidney or kidney disease. Patient was then diagnosed CKD( Chronic Kidney Disease) secondary to HPN.

From the time she was admitted, patient was scheduled and done hemodialysis for three sessions already, and will be continuing the dialysis for twice a week onward of her life.                                                                                                                                                 High blood pressure can damage blood vessels in the kidneys, reducing their ability to work properly. When the force of blood flow is high, blood vessels stretch so blood flows more easily. Eventually, this stretching scars and weakens blood vessels throughout the body, including those in the kidneys.If the kidneys’ blood vessels are damaged, they may stop removing wastes and extra fluid from the body. Extra fluid in the blood vessels may then raise blood pressure even more, creating a dangerous cycle.High blood pressure is the second leading cause of kidney failure  after diabetes.