Question

Client

Age: 24

Height: 5’8”

Weight: 109 lbs

Sex: Female

Race: White

Family History

This client has no family history of cardiovascular disease.

Medical History

Present Conditions

This woman’s resting heart rate (HR) is 65 bpm, and her resting blood pressure (BP) is 104/62 mmHg. She has a total cholesterol of 220 mg/dl. Her high-density lipoprotein (HDL) level is 45 mg/dl and triglycerides are 120 mg/dl. She recently had a maximal oxygen consumption test that indicates her VO2max is 48 ml/kg/min. The maximal stress test indicates no known cardiovascular or electrocardiogram (ECG) abnormalities.

Past Conditions

The client has reported no past medical problems.

Behavior and Risk Factor Assessment

The client reports that she is not a smoker but likes to have a cocktail after she leaves work. She states that she doesn’t really like the bar she frequents because of the heavy secondhand smoke she has to breathe. She currently eats a diet that is rich in complex carbohydrates and lean sources of protein. Her personal trainer has her eating 4-5 meals per day. She likes to run 3-5 miles a day at least 4 days per week, and she does resistance-training exercise 5 days a week. Her job requires her to work between 50 and 60 hours per week. She sleeps an average of 6 hours each night. Her greatest concern is that she feels tired all the time.

Questions

1. Classify (BP, CHO, ect.) the results of her current medical history (be specific) and identify any potential CHD risk factors.

2. What behavior and lifestyle changes do you recommend for this client (be specific)?

Answer 1

Ans-1)

The HR of patient is 65 bpm.which is at normal level.range of Normal heart beat level is between 60-100.Blood pressure of patient is 104/62 mmhg.range of blood pressure is up to 120/80mmhg.the patient having low blood pressure.then,level of cholesterol,HDL, Triglycerides are 220,45,120 mg/dl. Value of cholesterol are lie between the ideal levels,where cholesterol level is lies between the 125-200mg/dl.the level of HDL 50mg/dl or above is considered of healthy person.where patient having less level of HDL.where the triglycerides level is 120mg/dl which less.healthy person having level of triglycerides is 150mg/dl or above it.low level of triglycerides indicated the less amount of fat in food which consumed by patient.level of VO2 max is between the 60-70ml/kg/min.but patient having low level of VO2 max that is 48ml/kg/min.so, according to this information the patient having chance of CHD.

CHO is the carbohydrates level.

Risk factor for CHD-

1) patient drinks cocktail.

2) drinking alcohol.

3)high blood cholesterol level.

4)DM

5) overweight

6) obesity

Ans-2)

Lifestyle Changes to avoid CHD Risk-

1)Avoid Alcohol consumption.-advised to low alcohol consumption.dont drink more than 14 units in week.

2)Eat healthy diet.-low fibre diet is recommended.eat vegetables,whole grains, fruits.

3)Be more physically with diet-diet is important for Maintain and control of CHD but diet with physical exercise is good for health.

4)loss weight-calculate BMI and Maintain healthy weight.

5)keep blood pressure under control-keep blood pressure under control by eating diet in low saturated in fat and check pressure regularly.