Journal 8.
Journal 8
Select a patient who is beyond 20 weeks gestation and presented with a health problem that commonly arises during pregnancy. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, explain the implications of the patient’s health problem. Journal 8
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Hypertension in Pregnancy
A 32 year old AA pregnant woman presented in the clinic with hypertension. She is at 21 weeks of gestation. A routine clinic checkup recorded elevated blood pressure levels of 144/100 mmHg. She reports to have had pre-eclampsia characterized by proteinuria and hypertension in the 22nd week of gestation in her second pregnancy. She delivered her previous pregnancies normally. No medical management took place after delivery since her blood pressure normalized. Journal 8
Drug therapy treatment involved the prescription of 30mg phenoxybenzamine dose in the morning and 10mg of the same drug in the evening. It is a long-acting non-selective alpha-blocker that prevents cardiovascular complications thus controlling the pressure of the blood (Das et al., 2017). The effects are characterized by vasodilatation of blood vessels from the formation of covalent adrenergic receptors. Since the drug is not taken in isolation, Propranolol was given seven days after the initialization of the first treatment (Webster at al., 2017). These medicines are well tolerated by pregnant women during this period to the end of the pregnancy. Journal 8
The follow up care will be conducted every two weeks. This will monitor the tolerability of the patient to the drugs administered and the progress of the pregnancy. This will help detect any pregnancy complications associated with the medication and support formulation of a more effective treatment plan. Health problems during pregnancy pose dangers to the lives of both the mother and the infant. Hypertension implications include increased risks of placental abruption and preeclampsia (Kintiraki et al., 2015). This involves the separation of the placenta from the uterus. Moreover, premature death is likely to occur with unmanaged blood pressure. Higher chances of low birth weight delivery are also a possibility. Journal 8