Essay Example on Primary Hypertension: Modifiable & Non-modifiable Risk Factors

Introduction

From KH’s s history and physical data, the risk factors associated with primary hypertension are both modifiable risk factors and non-modifiable risk factors. Non-modifiable risk factors cover the aspects of race, age, and KH’s existing lifestyle fueled by its high salt intake, which is prone to potential risks that can hardly stop the damaging impacts that may occur as a result of high salt intake (Pareek & Narsimulu 97). When salt is highly consumed in the body, the pressure is increased, especially to people who are above 50 years, people with kidney disorders, and those from African American descent (Bakris & Baliga 57). Modifiable risk factors are fueled by aspects such as weight loss of about 30 pounds, no beats per minute 70, with approximated blood pressure. From this point, there will be a slight chance to increase hypertension consistently.

Is your time best spent reading someone else’s essay? Get a 100% original essay FROM A CERTIFIED WRITER!

Save 25%

What is the rationale for treating KH with an ACE inhibitor?

ACE inhibitors are very useful and vital in treatment and medication for KH based on their effectiveness in preventing hypertension. ACE inhibitors are necessarily needed to treat KH by slowing Angiotensin, which converts enzyme ACE (Kartha, et al. 97). In essence, angiotensin II is released by the body, which causes blood vessels vasoconstriction. Angiotensin by the ACE is used to make Angiotensin II. If Angiotensin is slowly produced by the ACE inhibitors, it would be easier for blood vessels to dilate and reduce the blood pressure. From this perspective, KH needs to stay on ACE inhibitors based on the readings of blood pressure. For instance, the blood pressure is currently at 135/96. KH’ systolic blood pressure is within a pre-hypertensive range. Conversely, the diastolic blood pressure is within a hypertensive range, which implies that KH blood pressure is hypertensive. KH, as a patient with kidney disease with hypertension, is advised to take a low level of salt (Pareek & Narsimulu 98). If KH consumes more salt content, the proiterurea is likely to accelerate, which may lead to heart and kidney failure. In this context, the ACE inhibitor based on the restriction of salt will help reduce hypertension.

What is the mechanism of action?

ACE inhibitors restrict Angiotensin-converting enzyme to convert Angiotensin I to an active angiotensin II (Bakris & Baliga 57). In other words, there will cease to be any resultant action to aldosterone production to absorb salts or water from renal tubules to keep homeostasis.

What part of the blood pressure formula do they affect?

Angiotensin-converting enzyme (ACE) inhibitors enhance blood vessels’ dilation and lower blood pressure. ACE inhibitors typically stop reabsorption of more salts at every renal tube.

KH’s hypertension is not adequately controlled. What other intervention might be considered?

In this context, physical exercise is needed to assist in the weight loss process to reduce blood pressure. There is a need to determine KH’s high-stress level and family’ history to determine KH’s hypertension. All these processes can be achieved through cognitive behavior theory (CBT).

What tips can you give KH’s wife to improve the accuracy of her blood pressure measurement technique?

I will urge KH’s wife to encircle the rubber bladder inside the cuff to about three-quarters of the arm circumference. In this context, the wife needs to measure the upper arm circumference to avoid incorrect cuff size applied (Bakris & Baliga 56). I will encourage the wife to remove tight clothing. I will advise the wife to ensure that KH is seated and quiet with his arms supported and outstretched. Also, I will encourage her to stop talking to her husband during the procedure. I will tell her that when she continues to talk to KH, and she will be more likely to increase the BP.

Works Cited

Bakris, G. L., and R. R. Baliga. Hypertensive heart disease, an issue of heart failure clinics. Elsevier Health Sciences, 2019.

Kartha, C., et al. Mechanisms of vascular defects in diabetes mellitus. Springer, 2017.

Pareek, K., and G. Narsimulu. Medicine update & progress in medicine 2019 -. Jaypee Brothers,Medical Publishers Pvt., 2019.