Chamberlain College of Nursing

NR 508

Rachel Avisrur

June 10th 2018

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Case Study

• David a 54 yo Caucasian male went to his primary care providers office for his

yearly physical. The nurse came in and took Davids vitals. His blood pressure was

150/92, HR 75, RR 16, 98 kg. His blood pressure was repeated 2 times five minutes

apart and the systolic pressure remained <150 and diastolic <90. While discussing

the elevated blood pressure, David mentioned to the practitioner that he has been

having dizzy spells and headaches off and on for the past 5 months. David works

three jobs to support his family. He is a non smoker but admits to having other bad

habits like eating fast food on a daily basis and avoiding the gym. Upon assessment

the provider notices bilateral lower extremity +1 pitting edema. Davids routine lab

work (CBC, CMP, urinalysis) shows all values are within normal limits. There is no

past medical history and Davids surgical history includes a tonsillectomy at the age

of 4.

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