Per​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​ipheral vascular disease (PVD)

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G​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​eoff Beeliar has been admitted to your ward from ED with a headache. He has been seeing his GP for the last 2 weeks after starting a new medication (metoprolol) for his hypertension. The headache has continued despite paracetamol and ibuprofen. He arranged to see his GP this morning who discovered that Geoff has not been taking the metoprolol as he felt it made him tired and weak. His blood pressure at the GP was 210/100 and he was complaining of blurred vision and nausea. He was taken from the GP by ambulance, seen in ED and sent to your Medical Assessment Unit for further assessment and follow up. In ED he was given metoprolol 100mg to help lower his blood pressure.

His past medical history includes hypertension, type 2 diabetes mellitus, per​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​ipheral vascular disease (PVD), dyslipidaemia and obesity.
His details are below:
Name: Geoff Beeliar
Date of birth: 27/06/1948
Temperature: 37.1
Pulse: 98 bpm
Respiration rate: 23
Blood pressure: 190/102
Alert and orientated. Feels unwell.

Medications as below:
Metformin 500mg
Metoprolol 50mg
Enoxaparin 90mg
Atorvastatin 40mg
Identify 2 expected outcomes for this patient pathophysiological,
pharmacological. The outcomes should use the SMART format and evidence based – you must provide a rationale for your expected outcome and support it with peer reviewed evidence.

Time bound
Time boun​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​d

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