NR 601 Week 5 iHuman Virtual Patient Encounter Attempt 3692013 - Heather Nardone
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Management Plan by Dikshya Poudel on case Heather Nardone - Chamberlain Heather Nardone, 56 year old female Blood Pressure Recheck Heather Nardone is a 56 year old female presenting for a blood pressure recheck after a workplace health fair with an elevated BP of 132/74 mmhm. She also has a history of hypothyroidism and 8 years long history of obesity reports a sedentary lifestyle she reports consuming high fat and high salt diet. She denies Chest pain, dyspnea, nausea etc. On examination, her BP is within normal range 118/72 with a normal and she has a swelling eyelids. Her lung sounds is clear bilaterally and heart sounds is regular rate and rhythm. No JVP tenderness , no murmur, friction rub. On assessment ,patient has a sedentary lifestyle with no physical activity consuming high fat and high salt diet. Patient is asymptomatic . The diagnostic test are the lab values including lipid profile, CBC, CMP, UA, TSH, T4, Liver enzymes and hba1c. The plan is to calculate ASCVD score and start the medication such as statin therapy with the low dose of atorvastatin 10 mg PO bedtime. Including lifestyle modification such as increased physical activity, consuming low fat diet and not consuming any alcohol or drugs, smoking. The patient also should start monitoring her blood pressure regularly and start logging. As we know the patient is obese, she should start losing weight. Additionally patient should be refrred to nutritionist to discuss food that is heart friendly and weight management. patient should have a follow up appointment in 2 months along with her BP monitoring. Attempt: 3692013 Report generated on 10/5/2025, 8:42:44 PM America/Denver
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