CASE STUDY Patient Profile R., a 68-year-old male from Fiji, came into the emergency department with complaints of increased headache, dizziness, and…

Question Answered step-by-step CASE STUDY Patient Profile R.M., a 68-year-old male from Fiji, came into the emergency department with complaints of increased headache, dizziness, and blurred vision. His blood pressure in the emergency room was 201/120. He received IV labetalol (Normodyne) and IV furosemide (Lasix) and was admitted to the cardiac unit for observation. Subjective Data States “I don’t feel well, but I don’t want all this medicine. I heard that garlic could help my high blood pressure and make it all better.” Asks “I want all of my family with me in my room-can’t my family all come in?” Wife is at bedside; several family members are in the hall. Objective Data Physical Examination Temperature: 98.3°F; respirations: 22; pulse: 88; blood pressure: 210/120Oxygen saturation: 95% on room air. Height 5’10”, 198 lb. Remainder of physical exam unremarkable Diagnostic Studies. ECG reveals left ventricular hypertrophy. Chest x-ray shows cardiomegaly.Discussion Questions:1.What further cultural assessment would you obtain? 2.How would you address his statement about the use of garlic? 3.While attempting to draw R.M.’s lab work, two children, his sister, several grandchildren, nieces, and nephews were all asking for information. Culturally speaking, list three ways to deescalate the situation? 4.How would you respond to the patient’s request to have all of his family in the room?  Case ProgressionTwo days after the health care provider initiated medication therapy, R.M.’s blood pressure has decreased to 148/90. He is being discharged on metoprolol (Lopressor) 100 mg orally twice daily and furosemide (Lasix) 80 mg orally daily, with instructions to follow a low-salt diet. 5.What resources might be useful to you in providing discharge instructions?  6.Outline specific patient teaching points for a low-salt diet, including culturally appropriate foods.  7.If you were R.M.’s nurse, how would you describe yourself so that you provide care in a culturally sensitive manner? Health Science Science Nursing SCIENCE 2213 Share QuestionEmailCopy link Comments (0)