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B.

Client Based

PREDISPOSING Insufficient insulin secretion/


Non-Modifiable production of the pancreas
AGE – 89 years old
FAMILY
Maternal: DM Glucose is not metabolize by
Paternal: Hypertension the body

Modifiable
LIFESTYLE - sedentary Accumulation of glucose in
DIET – high fatty foods the blood stream
Increase fat deposit on
the walls of the blood
PRECIPITATING vessels Increase viscosity of blood/
Diabetes Mellitus sluggish flow of blood

Narrowing of blood vessel


(coronary artery) Evaluate level of
blood glucose/
increase
concentration of
sugar in blood
Decrease blood flow
through the coronary
S/sx:
CBG monitoring
CORONARY ARTERY

Decrease blood flow to


the heart

Increase blood pressure

HCVD

Severe elevation in BP w/o


progressive target organ

Hypertensive

Prognosis
If treated: If untreated:
 Nursing Further
Management complication
 Diet Management can occur:
 Pharmacologic  Ischemia
Medication:  Angina
(Aspirin, ACE pectoris
inhibitor,  MI
Nitroglycerin for
 Heart attack
angina)
 CVA
 Oxygen Therapy
Recovery

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