(Student Name) Miami Regional University Date of Encounter: September 25, 2021 Preceptor/Clinical Site: Medical Department Clinical Instructor: Patricio Bidart MSN, APRN, FNP-C Soap Note # _Essential Hypertension___ Main Diagnosis __Hypertension___________ PATIENT INFORMATION Name: Mr. K.V Age: 50yrs Gender at Birth: Male Gender Identity: Male Source: Medical-Surgical Allergies: No known allergies. Current Medications: · 50mg of Losartan daily orally · Daily Amlodipine PO 10mg PMH: Adult illness – elevation in cholesterol levels. Childhood illnesses – Acute tonsillitis, chickenpox, and mumps. Immunizations: Hepatitis B and Influenza preventive vaccines 2015. Preventive Care: Undergone screening for prostate cancer on July 20, 2020 Surgical History: The patient had his tonsils removed at the age of 14. Family History: Mom:Heart attack and stroke , hypertension and high lipids.Dad: Hypertensive and arterial aneurysms . Grandparents and sibling have no known information. Social History: Our client is employed full-time in a high-stress, high-demand profession. K.V  is the father of two grown-up children. The client consumes up to three beers every evening, smokes cigarettes, and loves tobacco thrice per week. Dismisses ever using illegal drugs. K.V  is self-sufficient in his Daily living activities and Instrumental activities. Takes FOUR meals per day AND snacks off between. Because his job is so demanding and taxing, he does not engage in physical activity. K.V  has been interested in sex for 35 years with the same spouse. Sexual Orientation: The patient is enduring less interest and attraction to the female gender with a remarkably lower sexual drive. Nutrition History: He reports having had a weight gain in the past few years—no history of loss of appetite. Subjective Data: Chief Complaint: Regular medical checkup for Hypertension and has regular headaches and chest pains. Symptom analysis/HPI: K.V., a 50-year-old Jewish man, goes to the urgent care every fortnight for a blood pressure exam. Guy adds that his blood pressure has so far been high for the past few months. He monitors his blood pressure on a regular basis and takes account of findings. .He reports that the headaches and the chest pains have been persistent over the past few days. The chest pains and the headaches have been mild to moderate. The patient is …The patient looks generally weak but walks comfortably on his own. Review of Systems (ROS) (This section is what the patient says; therefore it should state Pt denies, or Pt states….. ) CONSTITUTIONAL: Denies fever, chills, fatigue, or weight gain/loss recently. NEUROLOGIC: Dismisses symptoms such as dizziness, numbing, stinging, even unconsciousness. HEENT: Mental fogginess, dizziness, visual disturbances, blurred eyesight, ringing, hearing problems, runny nose or discharge, hoarseness, or drains from the eyeballs are all denied. Reaffirms the occurrence of migraines sometimes. He is a spectacles wearer. RESPIRATORY ...

1. (Student Name)
Miami Regional University
Date of Encounter: September 25, 2021
Preceptor/Clinical Site: Medical Department
Clinical Instructor: Patricio Bidart MSN, APRN, FNP-C
Soap Note # _Essential Hypertension___ Main Diagnosis
__Hypertension___________
PATIENT INFORMATION
Name: Mr. K.V
Age: 50yrs
Gender at Birth: Male
Gender Identity: Male
Source: Medical-Surgical
Allergies: No known allergies.
Current Medications:
· 50mg of Losartan daily orally
· Daily Amlodipine PO 10mg
PMH: Adult illness – elevation in cholesterol levels.
Childhood illnesses – Acute tonsillitis, chickenpox, and mumps.
Immunizations: Hepatitis B and Influenza preventive vaccines
2015.
Preventive Care: Undergone screening for prostate cancer on
July 20, 2020
Surgical History: The patient had his tonsils removed at the age
of 14.
Family History: Mom:Heart attack and stroke , hypertension and
high lipids.Dad: Hypertensive and arterial aneurysms .
Grandparents and sibling have no known information.
Social History: Our client is employed full-time in a high-
stress, high-demand profession. K.V is the father of two grown-

2. up children. The client consumes up to three beers every
evening, smokes cigarettes, and loves tobacco thrice per week.
Dismisses ever using illegal drugs. K.V is self-sufficient in his
Daily living activities and Instrumental activities. Takes
FOUR meals per day AND snacks off between. Because his job
is so demanding and taxing, he does not engage in physical
activity. K.V has been interested in sex for 35 years with the
same spouse.
Sexual Orientation: The patient is enduring less interest and
attraction to the female gender with a remarkably lower sexual
drive.
Nutrition History: He reports having had a weight gain in the
past few years—no history of loss of appetite.
Subjective Data:
Chief Complaint: Regular medical checkup for Hypertension
and has regular headaches and chest pains.
Symptom analysis/HPI: K.V., a 50-year-old Jewish man, goes to
the urgent care every fortnight for a blood pressure exam. Guy
adds that his blood pressure has so far been high for the past
few months. He monitors his blood pressure on a regular basis
and takes account of findings.
.He reports that the headaches and the chest pains have been
persistent over the past few days. The chest pains and the
headaches have been mild to moderate.
The patient is …The patient looks generally weak but walks
comfortably on his own.
Review of Systems (ROS) (This section is what the patient says;
therefore it should state Pt denies, or Pt states….. )
CONSTITUTIONAL: Denies fever, chills, fatigue, or weight
gain/loss recently.
NEUROLOGIC: Dismisses symptoms such as dizziness,
numbing, stinging, even unconsciousness.
HEENT: Mental fogginess, dizziness, visual disturbances,
blurred eyesight, ringing, hearing problems, runny nose or
discharge, hoarseness, or drains from the eyeballs are all

3. denied. Reaffirms the occurrence of migraines sometimes. He is
a spectacles wearer.
RESPIRATORY: On deny of cough, SOB, trouble respiration,
or blood cough
CARDIOVASCULAR: No sudden severe pain in the chest,
uneasiness, irregular heartbeat, or murmurs background. There
is no evidence of tachycardia, night breathlessness, or swelling.
GASTROINTESTINAL: Pain with vomit, diarrhea, constipation,
abdominal discomfort, or gastroesophageal reflux are all denied
by the patient.
GENITOURINARY: reports No alterations in the patterns of
the urinary system like urge incontinence or polyuria and
hematuria.
MUSCULOSKELETAL: He refutes Pain in the joints or
swelling
SKIN: client reports denies the presence of growths,itchy skin,
dryness, flaking, and open sores.
Objective Data:
VITAL SIGNS: Heigth: 1.8 metres, Weight 241lbs, BMI: 34.6,
HR: 79, BP: 185/88, RR: 15, Temp: 97.7, oral, O2 sat: 100% on
room air.
GENERAL APPEARANCE:
As in the examination chair, he is sitting up straight. It appears
to be at ease. The appearance appears to be age-appropriate.
There was no odor from the body. Pampering and cleanliness
are essential. The client is well-fed and responds to inquiries
correctly.
NEUROLOGIC: A&O x4, cooperative. Mood and affect are
appropriate. Remarkable bilaterally and symmetrical.
HEENT: The characteristics of the face are symmetrical. The
Head has no atraumatic sign and is of normal size. His T.M.s
are symmetrically normal and without any redness or swellings.
There is no enlargement in the eardrum. The nasal cavity is
distinct on both sides. There were no tumors found. The
mucosal of the nose is pinkish, but there is no runny nose.

4. There is no pain in the sinuses. There is no erythema or exudate
in the oropharynx. The teeth are in fine condition, and the gums
are healthy and not irritated.
CARDIOVASCULAR: no murmur in the tripple, rubbing, and
galloping. Bilateral plus 2 in the radia and pedus pulses.
RESPIRATORY: L And A.P., the Chest wall is symmetrically
notable. In all lung fields, there is CTA, absent SOB.
GASTROINTESTINAL: The belly is smooth and non-tender.
There is no increase in the air, no lumps, and no hepatomegaly.
The abdomen is a flat IN manner. Percussion is never dull. In
all four quadrants, the bowel sounds sensible. There is no
tenderness when it comes to protecting or rebounding.
MUSCULOSKELETAL: bears the weight. No clubs in the nails,
no bluishness, or swelling. The strength of muscles is five over
five in groups.
INTEGUMENTARY: partial dryness, but intactness is
maintainable.No rash or lesion.Good turgor.No yellowing of
skin or lightness.
ASSESSMENT:
(In a paragraph, please state "your encounter with your patient
and your findings ( including subjective and objective data)
Example : "Pt came into our clinic c/o of ear pain. Pt states that
the Pain started three days ago after swimming. Pt denies
discharge etc.… on examination I noted this and that etc.)
The client didn't have any complaints of Hypertension, though
he was able to ascertain when it was elevated and how long
thanks to continuous inspection. After some days of persistently
high values, the client became suspicious and scheduled an
evaluation. High blood pressure is known as the "fatal disease"
since so many individuals have no indicators. Patients who have
Hypertension for longer timeframes are more likely to have a
heart attack and stroke. The clinician and I were frightened
whenever the client mentioned that his mom died of a heart
attack and his dad succumbed due to an infarct.
Main Diagnosis
(Include the name of your Main Diagnosis along with its ICD10

5. I10. (Look at PDF example provided) Include the in-text
reference/s as per APA style 6th or 7th Edition.
The volume of blood the heart circulates or the development of
resistance to systemic arteries affects your blood pressure.
Because not everybody gets hypertension complaints, few
people might have migraines, difficulty breathing, or bloody
noses. Basic (primary) high blood pressure and secondary high
blood pressure (Heller, 2017) are the two main forms of
Hypertension. Primary Hypertension is a type of high blood
pressure that develops and has no known etiology. Secondary
high blood pressure is caused by chronic sleep problems, renal
disease, endocrine glands malignancies, thyroid dysfunction,
inherited vascular anomalies, pharmaceuticals, illicit narcotics,
or alcohol dependence. Aging, ethnicity, family medical history,
becoming significantly overweight, sedentary lifestyle, cigarette
usage, excessive salts, insufficient vitamins such as vitamin D,
consuming liquor, anxiety excessively, and such chronic
medical conditions are all potential causes for high blood
pressure.
Differential diagnosis (minimum 3)
- Whenever ventilation is abruptly and regularly stopped
throughout slumber, this is known as sleep apnea. Hypertension
has already been linked to obstructive sleep apnea.
Hypertension and sleep apnea are linked, and one can
exacerbate the other. Obesity is common among people with
sleep apnea and high blood pressure, and it has a role in both
disorders. Sleep apnea is thought to effects 20–40% of
hypertension cases.
- Kidney Arterial Stenosis involves abnormal constriction
in one or more of the arteries that supply to the renal. Blood
pressure increases when the vasculature contract, preventing
appropriate circulation volumes in accessing both kidneys
(American Heart Association, 2017). Hypertension is hard to
treat, a slightly wider notice inside the arteries, increased
protein thresholds inside the urinary, exacerbating renal
function through hypertension treatment, electrolyte imbalances

6. and inflammation in the hands and feet, and medicine heart
failure are all signs and symptoms.
- When confronted with a stressful circumstance, the body
releases adrenaline and cortisol into the bloodstream. The
hormonal changes constrict veins and arteries and increase heart
rate to prepare the body for the "physiological stress" i nstinct.
Cardiac output is raised through tightening of veins and arteries
and a rapid heartbeat. Some impacts of persistent stress on the
body are currently less clear.
PLAN:
Labs and Diagnostic Test to be ordered (if applicable)
· Complete blood count
· Urinalysis and profile of lipids
Pharmacological treatment:
-Amlodipine continuation 10milligramd Per Oral on a daily
basis, up the Losartan up to 100milligrams orally daily, then
start Clonidine as per need 0.1milligrams orally in Systolic
>189, diastolic >98
Non-Pharmacologic treatment:
Diet Approach to Stopping Hypertension and low sodium
alternatives brochures were given out. The diet plan
(CardioSmart, 2015) is a moderate diet high in vegetables,
greens, ordinary and non-milk, and even whole cereals. The
meal is shown to lower the blood pressure possible in short as
two weeks. The patient is instructed to exercise for half an hour
at one vigorous speed four times each week. Activity can aid
weight loss, lower your blood pressure, or reduce anxiety.
"Frequent physical conditioning has already been demonstrated
to reduce general tension, enhance and consolidating mood,
induce sleep, and develop a positive self.
Education (provide the most relevant ones tailored to your
patient)
The importance of daily checkups was emphasized, and the
person's quarterly test results were described in detail. The
patient was informed about the dangers of Hypertension, and
given his family tree of aneurysms and strokes, he was advised

7. to treat his health seriously.
Follow-ups/Referrals: Transfer to a specialist if Hypertension
remained high or reference to a nutritionist for cardiovascular
nutrition were suggested, but most were postponed at this time.
For a month, the patient must take his blood pressure twice a
day and record it. Inside two fortnights, the client will return.
References
AACC. (2017, January 15). Hypertension. Retrieved from
AACC: Lab Tests
Online:https://labtestsonline.org/understanding/conditions/hyper
tension/start/3/
ADAA. (2016). Physical activity reduces stress. Retrieved from
ADAA: Anxiety and Depression Association of American:
https://www.adaa.org/understanding-
anxiety/relatedillnesses/other-related-conditions/stress/physical-
activity-reduces-st
American Heart Association. (2017, January 10). Managing
stress to control high blood pressure. Retrieved from American
Heart Association:
http://www.heart.org/HEARTORG/Conditions/HighBloodPressu
re/MakeChangesThatMa tter/Managing-Stress-to-Control-High-
BloodPressure_UCM_301883_Article.jsp#.WUSQiOjyuUk
CardioSmart. (2015, May 1). Sleep apnea and high blood
pressure: A dangerous pair. Retrieved from CardioSmart:
https://www.cardiosmart.org/news-and-events/2015/05/sleep-
apneaand-high-blood-pressure-a-dangerous-pair
Heller, M. (2017, January 5). The DASH eating plan. Retrieved
from The DASH Diet Eating Plan:
http://dashdiet.org/default.asp Mayo Clinic. (2016, September
9). High blood pressure (Hypertension). Retrieved from Mayo
Clinic: http://www.mayoclinic.org/diseases-conditions/high-
bloodpressure/basics/definition/con-20019580
Mayo Clinic. (2017, May 31). Renal artery stenosis. Retrieved
from Mayo Clinic: http://www.mayoclinic.org/diseases-

8. conditions/renal-artery-stenosis/home/ovc-20320997
Characteristics of Judaism, Christianity, and Islam
REL/134 v8
Page 2 of 2
Characteristics of Judaism, Christianity, and Islam
In this assignment, you will share what you learned about
Judaism, Christianity, and Islam and how these religions
compare with one another.
Complete Parts 1-3 below. As you complete this assignment,
consider the presence of these religions in the world today. You
may want to conduct an internet search to see where any or all
of these religions appear in news, film, arts, etc. Consider the
information from your search as well as from classroom
resources when working on this assignment.
Note: You may find helpful resources for completing your
assignment in the Center for Writing Excellence.Part 1:
Religion Characteristics Table
Complete the table to reflect on your understanding from your
readings and your additional research.
Religion
Basic Teachings of the Religion
Important Historical Event(s) Within the Religion
Rituals and Holy Days and Symbols
Traditions
Effects of Religion on Modern Society
Judaism
· Reform
Judaism
· Orthodox

9. Judaism
· Conservative
Christianity
· Catholic
Christianity
· Orthodox
Christianity
· Protestant
Islam
· Sunni

10. Islam
· Shi’a
Part 2: Reflection
Write a 525- to 700-word overall response in short answers to
the following:
· How would you compare the three major sects of Judaism —
Reform, Orthodox and Conservative? Consider the history,
tenets, and traditions in your response.
Enter your response here.
· How would you compare the three major branches of
Christianity — Catholic, Orthodox, and Protestant? Consider
the history, tenets, and traditions in your response.
Enter your response here.
· How would you compare the two major sects of Islam —
Sunni and Shi’a? Consider the history, tenets, and traditions in
your response.
Enter your response here.
· What did you take away from the process of creating your
religion characteristics table?
Enter your response here.
· What did you discover about the connection among the
specific religions and morals or ethics?
Enter your response here.Part 3: References
Include a references list. Use a citation generator, such as the
Reference & Citation Generator in the Center for Writing
Excellence, to cite the research used to complete this
assignment. Format your in-text citations (e.g., Adams, 2016, p.
23) and references list (i.e., list of resources at the end of the

11. assignment) using APA format. Consult the References page on
the APA Style website for assistance. Don’t worry about
perfection. If you make a mistake, your faculty member can
help, so please let your faculty member know if you have any
questions.
Enter your response here.