Hypertension and Treatment

Hypertension and Treatment during Pregnancy
Name
Institution

Patient’s Personal and Medical History
At 22 week gestation period, a woman aged 25 was diagnosed with hypertension without significant proteinuria at that time. Later in her 31st week, as a result of hypertension, she developed preeclampsia characterized by swelling of hands and pain in the abdomen (Rolnik et al., 2017). There were no previous records of high blood pressure in the woman before pregnancy. This was her first pregnancy which happened to be multiple. The woman was obese though through doctor’s assistance the excess weight was put under control. In her family, there were no records of hypertension though her mother had diabetes.
Drug Therapy and Treatment
To control hypertension, the doctor administered the woman with phenoxybenzamine drug in the morning and evening immediately (Das, Kumar, Kiran & Airan, 2017). After five days, the doctor added Propranolol to the earlier drug where the drugs were tolerated with a small headache and dizziness. The doctor also prescribed magnesium sulfate drugs to reduce seizure (de Moraes et al., 2018). However, since she had developed preeclampsia, the doctor decided to induce forced labor within 33 weeks to prevent the disease from spreading. After delivery preeclampsia had resolved within three days.
Follow-up Care
After delivery, the woman had to visit the doctor for blood pressure check regularly. The woman was also checked for damages of kidney, brain, eyes and the heart which are related to hypertension.

She did regular exercises with more fruits and vegetable diet. Atenolol, plus nifedipine drugs where administered to the woman whereby the fifth-week postpartum all her antihypertensives had stopped (Arain, 2018).

Implications of the Patient’s Health Problem
Woman with high blood pressure even before pregnancy should visit the doctor to recommend the best way to manage the condition. In case of excess weight, the doctor can recommend losing the excess before conceiving as well as prescribing medication for hypertension. Women should visit health care often to have blood and urine tested for hypertension. A healthy diet should be taken with regular exercises. In the case of hypertension in the last pregnancy, the doctor can prescribe 81 milligrams of aspirin daily in the first trimester.

References
Arain, M. I. (2018). A3223 Post Marketing Surveillance Study of Beta-blockers at tertiary care hospital of Hyderabad, Pakistan. Journal of Hypertension, 36, e138.
Das, S., Kumar, P., Kiran, U., & Airan, B. (2017). Alpha blockers: A relook at phenoxybenzamine. Journal of the Practice of Cardiovascular Sciences, 3(1), 11.
de Moraes, M. T., Quadros, D. G., Martins, C., Susemihl, M. A., da Silva, S. A., de Andrade, A. F., … & Mello, L. E. A. (2018). The Use of Biperiden as an antiepileptogenic Drug in Patients with Moderate or Severe Traumatic Brain Injury. Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery, 37(S 01), A1022.
Rolnik, D. L., Wright, D., Poon, L. C., O’gorman, N., Syngelaki, A., de Paco Matallana, C., … & Molina, F. S. (2017). Aspirin versus placebo in pregnancies at high risk for preterm preeclampsia. New England Journal of Medicine, 377(7), 613-622.