What's up team? Zach here from med geeks. So it's Monday morning. Your first

patient on your schedule is a walk-in. They come in with one day of shortness of

breath. Medical assistant checks the vitals, comes out to you and says,

so the patient's blood pressure is a little high, you ask how high, and they say

220 over 110.

Heart rates 98 saturation, 92% on room air in their ephebrile.

Patient's a 55 year old male, history of hypertension,

hyperlipidemia, and heart failure preserved

DF.

So what's your next step?

Well, first thing I do when I approach a patient who has elevated blood pressure

is to confirm the correct cuff size.

Remember, obese patients with small cuffs will have falsely elevated blood pressure, and I recheck the blood pressure on both

sides and make sure it's positioned correctly. So I walk in you reposition the cuff and

you check the blood pressure on both sides.

Right side reads 210 over 112 and the left side reads

208 over 110.

Second thing I do is I ask the patient

do have a history of hypertension, what's their hypertension regimen, and

whether they're actually taking it, and when was their last dose?

So you know the patient has a history of hypertension just by reviewing the chart.

They tell you they normally take hydrochlorothiside 50 milligrams daily, licentoprel 20 milligrams daily,

...