SOAP Note on Hypertension: Pharmacotherapeutics Practical
1. SOAP notes for Hypertension 2. SOAP notes for Angina Pectoris 3. SOAP notes for Myocardial Infarction 4. SOAP notes for Hyperlipidaemia 5. SOAP notes for Rheumatoid arthritis 6. SOAP notes for Asthma 7. SOAP notes for COPD 8. SOAP notes for Diabetes 9. SOAP notes for Epilepsy 10. SOAP notes for Stroke 11. SOAP notes for Depression 12. SOAP notes for Tuberculosis 13. SOAP notes for Anaemia 14. SOAP notes for Viral infection 15. SOAP notes for Dermatological conditions
Patient Information
Name: Sanjay War
Age: 64 Years
Height: 6 Feet 2 Inches
Weight: 95 Kg
S: Subjective
I live alone and I am an occasional drinker but I do not smoke
My father as well as mother both had Hypertension
Currently, I am on the following medication for hypertension as well as pain
Hydrochlorothiazide 25mg
Doxazosin 2mg
Carvedilol 12.5mg
Mucinex D 2 tablet
Naproxen 220 mg and
Metformin 500mg
O: Objective Findings
Past Medication History (PMH) about 3 months ago,
Blood Pressure: 160/85 mm Hg
Heart Rate- 76 bpm
Weight-95 kg
Height.-6’2
BMI: 26.8(overweight)
Total Cholesterol- 171mg/dl, LDL- 99mg/dl, HDL- 40mg/dl
Triglycerides- 158mg/dl
Serum creatinine- 2.2 mg/dl
Blood Glucose- 110mg/dl
Uric Acid- 6.7 mg/dl
A: Assessment
Sanjay’s BP is not at goal, because he is diabetic his goal should be <130/80mmHG.
Despite triple antihypertensive therapy, B.P is not optimal because of many factors including the use of Mucinex D(which contains pseudoephedrine), Naproxen(NSAID) & non-compliance with a low sodium diet
ACEIs or ARB as drugs of choice for Diabetes.
The use of a non-selective beta blocker is not the best selection for COPD
Sanjay has BPH & is on Doxazosin, an alpha-blocker that seems to control his BPH symptoms as well.
However, dizziness & headaches like side effects of Doxazosin can be minimize by take the dose at night
P: Plan
Discontinue guaifenesin/pseudoephedrine preparation(especially if no longer needed for cold symptoms) or give a product containing only guaifenesin next time.
Discontinue Naproxen.
Go for an alternative(eg. acetaminophen) for headache and gout
Discontinue Carvedilol gradually
Add Lisinopril 5mg once daily, increase if not enough. It can cause dry cough or angioedema.
Monitor B.P, K, renal function, glucose, Lipid profile
Continue HCLTZ 25mg po qam
Continue Doxazosin 2mg
Change dosing schedule to reduce possible Doxazosin-induced dizziness
Continue metformin 500mg
F Y D Pharm & S Y D Pharm Notes, Books, Syllabus, PDF, Videos