G.S is 30 years old African American woman who was recently diagnosed with hyper
ID: 126153 • Letter: G
Question
G.S is 30 years old African American woman who was recently diagnosed with hypertension. Both her mother and sister have hypertension, and both were also in their thirties when it was diagnosed. G.'s most current blood pressure reading is 150/96 mm Hg, and for this reason the nurse practitioner has recommended therapy with captopril (Capoten), light exercise in the form of walking, and relaxation therapy. After 1 month of therapy, G.'s blood pressure is 145/86 mm Hg. Stress reduction has been the biggest obstacle in her treatment, because she is a lawyer with a prominent law firm and has found that her blood pressure is consistently elevated (160/100 mm Hg) whenever she measures it at work. At this follow-up visit, she is also given a prescription for a diuretic to help with her blood pressure control.
1. G.S. states that she and her husband are planning to start a family in 1 year. What will you, as her nurse, tell her about pregnancy and therapy with these drugs?
Explanation / Answer
Capoten is absolutely contraindicated for a pregnant women. Because it can harm the fetuss. And she cannot be continues with the drug - Cpoten during breast feeding. Because it can passes through breast milk and causes harm to the nursing baby. Therefore, it is not recommended during lactation also.
G.S should explain the future concerns in health to the doctor, so that doctor can change the prescription depends on her blood pressure values before and during pregnancy.
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