00:01
Hello students, here we have a clinical case in which a senior citizen who is 66 years old having a height of 5 foot 10 inches and weighing 270 lbs, his blood pressure measure is greater than 170 by 110 millimeter mercury.
00:37
Further tests showed the following results like normal to low blood plasma renin activity normal and elevated total peripheral resistance.
01:04
Cardiac output is 7 .4 per minute which is more.
01:15
X -ray evidence shows that he has left ventricular hypertrophy and retinal hemorrhage and he has mild polyuria and the recommended therapy included lifestyle changes which is low salt diet, reduced alcohol consumption, regular exercise and weight reduction of 50 to 80 pounds and it is said in the question that patient showed little improvement after making all these lifestyles.
02:20
Then medication was prescribed which was an oral diuretic and oral diuretic and beta blockers and after that vasodilator was added to this medicine which lowered the blood pressure to less than 140 to 90.
02:57
Now based on these results and these symptoms we have to answer the following questions.
03:07
The first question asked is what is the likely diagnosis for this individual? the likely diagnosis for this individual is acute hypertension.
03:24
Number second question asks about name the site of action and the purpose of oral diuretic, beta blocker and vasodilator.
03:44
The antidiuretic is also known as water pills and they act on kidneys and help our body to get rid of sodium and water.
04:04
What happens these antidiuretic hormones they increase the secretion of sodium in urine and hence when this sodium ions come into urine it helps remove more water from your body and this decrease in the water content of your body decreases the flow of fluid in veins which reduces the blood pressure...
