NR 509 Week 5 iHuman Virtual Patient - Anselmo Lopez - Attempt 3691185
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History Notecard by Korren King on case Anselmo Lopez Use this to collect your thoughts to develop a differential diagnosis list. Step 1: Write symptoms (Sx) you have identified in the appropriate column and row. Step 2: Characterize the symptoms using "OLDCARTS" (ie., Onset, Location, Characteristics...etc) in the HPI section. Step 3: Record your thoughts in the space labeled "What this means". Is the disease acute or chronic? Infectious or other?... Timing/treatments Hx Categories Sx= Sx= Sx= Sx= Sx= Sx= CC Provided How can I help you? Any other symptoms? HPI Onset/events Location Duration Characteristics Aggravating Reliving Severity What this means Attempt: 3691185 Report generated on 10/5/2025, 7:40:11 PM America/Denver Management Plan by Korren King on case Anselmo Lopez 1. Diagnostic tests: CBC, CMP, lipid panel, EKG, urinalysis, and thyroid panel. These test should be ordered for all patients with a new diagnosis of hypertension to assess for CVD risk factors, look for any other causes of hypertension, and to establish a baseline for the patient (Whelton et al., 2018). 2. Medications: write a specific prescription for each medication, including over-the-counter medications: Lisinopril 10mg PO one tablet Once Daily. (Whelton et al., 2018). Acetaminophen 325mg 2 tablets PO Q6H PRN for knee pain. 3. Consults/referrals: Nutritionist to help with meal planning. Coaching by a nutritionist or dietician can help people modify their lifestyle and behaviors to follow a specific meal plan (Whelton et al., 2018). Cardiologist due to uncontrolled hypertension, cardiovascular disease risk factors, and AV nicking. According to Whelton et al., (2018), a cardiologist should be consulted for hypertension management along with the PCP when the patient has other cardiovascular problems. 4. Education: Quit smoking. Cigarette smoking has a negative effect on blood pressures and is a risk factor for cardiovascular disease (Moiz et al., 2024). Weight loss. Most people with essential hypertension are overweight and this can be a cause of the hypertension (Moiz et al., 2024). Increasing physical activity. Exercise can have anti- hypertensive effects on the body (Moiz et al., 2024). Changing your diet, such as following a DASH diet, can have blood pressure lowering effects along with a low sodium diet (Moiz et al., 2024). Take medications as direct. Keep a log of blood pressures at home, taking BP in the morning before taking medications and again at bedtime. 5. Follow-up: Follow-up in office with PCP in one month to evaluate if medications are working appropriately. According to Moiz et al., (2024), after starting or changing an anti-hypertensive medication, patients should follow up in one month and then every 3-6 months after that. Come in sooner for any adverse reactions to medication or if medications are not helping blood pressure. References Moiz, A., Zolotarova, T., & Eisenberg, M J. (2024). Outpatient management of essential hypertension: A review based on the latest clinical guidelines. Annals of Medicine, 56(1), 2338242. https://doi.org/10.1080/07853890.2024.2338242 Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Himmelfarb, C. D., DePalma, S. M., Gidding, S. S., Jamerson, K.,
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