Eh Is a 68-Year-Old Male Who Comes Into the Clinic...

EH is a 68-year-old male who comes into the clinic complaining of a fever with a temperature of 103  °F. He has had a cough for the last three days that is producing some thick green brown mucous. The MD feels he most likely has bacterial pneumonia. He also has a history of having rheumatoid arthritis, and being immune compromised as he is on an immunosuppressant methotrexate. He has noted that over the last year he has lost weight unintentionally and feels he is underweight. 1. Understanding epidemiologic concepts of the chain of transmission of organisms from host to victim, describe how EH could have been infected. * Pneumonia is refers to an infection in the lungs that causes swelling in the lungs tissue and this inflammation†¦show more content†¦His wife can use automated bicep, wrist cuff but I don’t think she can use the scope. KH’s most primary factor risk is an HTN because of his age and also the extra 30Ibs of his DM. but his 30Ibs over is not a sig nificantly bad if KH were health of metabolically but the overweigh can lead to cause of hypertension. 2. What is the rationale for treating KH with an ACE inhibitor? What is the mechanism of action? What part of the blood pressure formula do they affect? The prescribed of medications are also ethnicity needs to take because some of the medications works better some of the groups ethnicity than other people. It is an angiotensin II of vasoconstrictor that elevates of B/P angiotensin II are also formed of angiotensin 1in the bloods enzyme and enzyme can cover ACE and interfere activity of enzyme of ACE because it decreases the angiotensin II. Most of all if he has vasodilation and blood pressure is reduces. 3. KH’s hypertension is not adequately controlled. What other intervention might be considered? The other interventions are if there is no well treatment of couple of things, I think there would be damage to the heart, arteries and that could be a heart attack, heart disease, stroke and more. 4. What tips can you give KH’s wife to improve the accuracy of her blood pressure measurement technique? Used the better way to measure the blood and for the cuff to wrap