Scribd
Upload
40 views15 pages

Case Hypertension

This document discusses two cases of hypertension and provides advice on lifestyle modifications and treatment. For case 1, a 38-year-old man with BP of 145/95 mm Hg, the document recommends changing his exercise to cycling 60 minutes 5 times a week, eating more Indonesian food and less instant noodles. For case 2, a 50-year-old man with very high BP of 170/110 mm Hg, BMI of 27.34, and abnormal medical test results, the document recommends lifestyle changes of losing weight, exercising with jogging 5 times a week for 30 minutes each, following a DASH diet and no more instant noodles. It also recommends giving an ACE inhibitor or ARB medication and asking

Uploaded by

Ayi Abdul Basith
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
40 views15 pages

Case Hypertension

This document discusses two cases of hypertension and provides advice on lifestyle modifications and treatment. For case 1, a 38-year-old man with BP of 145/95 mm Hg, the document recommends changing his exercise to cycling 60 minutes 5 times a week, eating more Indonesian food and less instant noodles. For case 2, a 50-year-old man with very high BP of 170/110 mm Hg, BMI of 27.34, and abnormal medical test results, the document recommends lifestyle changes of losing weight, exercising with jogging 5 times a week for 30 minutes each, following a DASH diet and no more instant noodles. It also recommends giving an ACE inhibitor or ARB medication and asking

Uploaded by

Ayi Abdul Basith
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 15

CASE HYPERTENSION

CASE 1
• Man, 38 year old, Marketing manager
• BP : 145/95 mm Hg, BW : 68, Height : 165 cm (BMI
24.9)
• Exercise : fitness centre 2 – 3 times a week weight
training 30 – 60 minutes, cycling (RPM class ) 50
minutes once a week
• Not smoker, medical check up : normal
• Diet : Indonesian, Japanese, European Food, instant
noodle 3- 5 times a week

What are your advices for him.


CASE 2
• Man, 50 year old, a civil servant
• BP : 170/110 mm Hg, BW : 70, Height : 160
cm (BMI 27.34)
• Exercise badminton 2 times a week
• Not smoker
• Diet : Indonesian, sometime fast food once a
week, instant noodle 3 times a week
MEDICAL CHECK UP RESULT
• Hematology : normal
• Ureum : 35, serum creatinin 1.2 mg/dl,
urinalysis proteinuria + 2, glucose + others
normal, ALT/AST normal, fasting blood sugar
178, post prandial 258
• ECG finding :left axis, LV strain, Sv1 + Rv5 > 35
mm
• Chest X Ray : cardiomegaly
QUESTION FOR CASE 1
A. Continue the type of exercise, eat more Indonesian food,
no more instant noodle
B. Change the exercise with weight training 6 times a week
30 minutes each, eat more Indonesian and Japanese food,
less instant noodle
C. Change the exercise type with cycling 90 minutes 3 times
a week, eat more Indonesian food, less instant noodle
D. Change the exercise type with cycling 60 minutes 5 times
a week, eat more Indonesian food and less instant noodle
E. Decrease body weight, Change the exercise type with
cycling 60 minutes 5 times a week, eat more Indonesian
food and less instant noodle
Non pharmacological treatment for
Hypertension
A. Exercise, calorie diet,
B. Calorie diet, low sodium, exercise, smoking
cessation
C. Low sodium diet, exercise, smoking
cessation,
D. Low sodium diet, exercise, smoking
cessation, normal BMI
E. Low sodium diet, caloric diet, exercise,
smoking cessation, normal BMI
How much salt should hypertensive
person take per day

A. 1 gram
B. 3 gram
C. 5 gram
D. 8 gram
E. 10 gram
Guess , how much sodium is in a cup
of instant noodle
A. 300 mg
B. 500 mg
C. 1000 mg
D. 1200 mg
E. 1500 mg
What type of food should be on the base
(green color) of the dash diet pyramid ?

A. Grains
B. Vegetable and fruit ?
C. Low fat dairy
product ?
D. Sweets
E. Beans and nut ?
What are the rules of exercise in
hypertensive patient
A. Everyday, low intensity, cardio type
B. More than 4 times a week, low intensity,
cardiorespiratory type
C. 4 hours a week, moderate intensity,
cardiorespiratory type
D. More than 4 times a week, moderate
intensity, cardiorespiratory type
E. 7 times a week, low intensity, muscle
strength and cardiorespiratory type
WHAT IS YOUR PLAN FOR CASE 2
A. Make a check up program : laboratorium
finding, and give an antihypertensive agent
B. Give an antihypertensive agent and ask him to
come again next week
C. Make a check up program and tell him to change
some life style
D. Advise him to get some rest, day off, and come
again next week.
E. Make a check up program : laboratorium, ask
him to change his life style, and come again in 3
days with the laboratorium result
WHAT IS YOUR PLAN FOR CASE 2
LIFE STYLE MODIFICATION
1. Loose some weight,

?
2. exercise : jogging 5 times a week 30 minutes each,

3. no more eat instant noodle, DASH Diet,

Give him antihypertensive agent : ACE Inhibitor or ARB

Ask him to come again in 2 weeks


THANK YOU

You might also like