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Why did Mr. Stone develop heart failure?
The patient is a 60-year-old male who has hypertension and heart
failure. He had Hydrochlorothiazide prescribed by MD for his
hypertension a couple of years ago. However, the patient has not
taken the medications as directed. He complains that he is
experiencing increasing fatigue, shortness of breath, paroxysmal
nocturnal dyspnea and weight gain. An ECG and a chest x-ray were
performed and also had blood drawn. The patient is alert and
oriented. His bp was 168/96 mmHg, the temperature was 98.4, pulse
98/min and RR was 22/min. Oxygen saturation 90% on room air and
increased to 94% with oxygen at 2 liters/min, per nasal cannula.
The nurse administered Enalapril 5 mg PO.
Hypertension over a long time can cause heart failure.
It is caused by left ventricular hypertrophy. This resistance increases due to increased blood pressure.
This causes a narrowing of left ventricle chamber, which leads to a decrease in blood volume. This can lead to heart failure.