Kamath Neetha, Cappuzzo Kimberly A
Kroger Pharmacy, Virginia Commonwealth University, Charlottesville, Virginia 22901, USA.
Consult Pharm. 2010 Jun;25(6):374-8. doi: 10.4140/TCP.n.2010.374.
A 75-year-old patient comes to a community pharmacy to refill her blood pressure (BP) medications. She approached the pharmacist complaining of a headache and an unusually high BP reading that she had gotten from the automated machine. The patient was unaware of her usual BP, but knew that the reading was unusually high for her. Following evaluation of the patient and after obtaining several high systolic BP readings, the pharmacist appropriately calls for an ambulance. At the hospital, the patient is told she is in need of triple-bypass surgery. After her hospital stay, the patient is now diligent about refilling her BP medications on time and consistently monitors and records her BP at home. Isolated systolic hypertension is a growing concern in older adults, and a large percentage of adults are not appropriately managed. Pharmacists play an active role in educating patients on the importance of high BP monitoring and adherence to minimize the risk of cardiovascular events.
一位75岁的患者来到社区药房续填她的降压药。她向药剂师抱怨头痛，并且她从自动测量仪上测得的血压读数异常高。患者不知道自己平时的血压情况，但知道这次的读数对她来说异常高。在对患者进行评估并多次测得收缩压读数偏高后，药剂师适当地叫了救护车。在医院里，患者被告知需要进行心脏搭桥手术。住院之后，患者现在很认真地按时续填降压药，并且在家持续监测和记录自己的血压。单纯收缩期高血压在老年人中越来越受到关注，而且很大一部分成年人没有得到适当的治疗。药剂师在教育患者认识到血压监测和坚持治疗以尽量降低心血管事件风险的重要性方面发挥着积极作用。
