Cardiology, Hypertension, Movies

The Intern

 

 

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Ben Whittaker found an opening position as a  senior intern at About the Fit online botique. He uploaded his online application at Vimeo and got hired along with the three seniors and a guy. Ben was assigned to Jules Ostin who was reluctant to work with him but turned out well. Jules decided to tag along Ben on an interview with her future chief executive officer in San Francisco until she noticed that Ben wasn’t feeling well.

 

 

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Ben got upset after seeing an unpleasant scene while driving Jules daughter on the way home. The stress that he felt caused his autonomic nervous system to increased. He was perspiring and flushing. His heart beats  faster and contracts faster. The cells in his body absorbs more sodium, chloride and water which causes the blood pressure to rise up and his vessels constricted. A person body would compensate by dilating the vessels in his body but since he is years old the elasticity of his heart muscles and vessels are decreased. It may take awhile before his body compensates. The heart continues to pump and contract without stretching the muscles in his heart therefore increasing the cardiac output. His vessels remain constricted increasing the peripheral volume.

Cardiac output (heart rate x stroke volume) and peripheral volume are two main factors affecting hypertension.

The ideal blood pressure is 120/80 but a blood pressure equal or greater than 140/90 is considered hypertensive. If the blood pressure reaches 160/100 it is the stage 2 hypertension whilst blood pressure reaching 180/110 is stage 3 hypertension.

Blood pressure may affect the vital organs of the body and should notify the physician for the following manifestation:

  • Chest pain
  • shortness of breath
  • alterations of speech
  • vision
  • disturbances in balance
  • nosebleed
  • headache
  • dizziness
  • nocturia

 

*Check the rate, rhythm and character of apical and peripheral pulses.

 

Ben is aware of his lifelong condition and continues to  be physically healthy by drinking his medication, exercises during his free time, free from alcohol and cigarette, and follows a restrictive diet.

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Dietary approaches to stop hypertension is a low sodium, low fat, low calories and high in fruits and vegetables diet.

Food Group

Grains and grain products       7-8 servings per day

Fruits and Vegetables                4-5 servings per day

Low fat or fat free dairy food    2-3 servings per day

Meat, fish and poulty                  2 or fewer

Nuts, seeds and dry beans          4 – 5 weekly

Medications  that decreases blood pressure as prescribed by the physician

  • Initial Drug Choice: Diuretics and Beta blockers
  • Specific indications for the following drugs: ACE inhibitors, Angiotensin II Receptive Blockers, Alpha Blockers, Beta-Blockers, Calcium Antagonist and Diuretics
  • Adrenergic Agents and Vasodilator

It is important to comply with medications and record blood pressure to prevent rebound hypertension or hypertensive emergency which is an sudden life threatening elevation of blood pressure.

Patients needs to be aware of the side effects of their medications like hypotension (If there is a slight hypotension and the patient needs to be sitted, slowly change the position from lying to sitting  position.).

 

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