Steve's Hypertension Case Studies

Steve has a history of hypertension which is a common risk factor of haemorrhagic strokes. When hypertension is not managed well, can cause a lot of pressure to the muscles of the intracerebral artery walls as it responds by pushing back harder causing the walls to become thick. This leads to the intracerebral arteries to be narrow causing less space for blood flow. A lifestyle factor that can be a risk to Steve’s hypertension is the excessive alcohol intake and study shows that 74% drinkers will develop a stroke (Tang et al., pp. 1091-1096). Steve is also male and over the age of 55 and are risk factors that can cause chronic hypertension (Porth, 2011, p. 427). Overtime chronic hypertension lead to a burst and rupture the intracerebral walls.
Steve vomited which was caused by pressure on the emetic centre in the medulla. His face also drooped and left arm was found to be weak, this is caused by neurological deficits reflecting the area of the brain that causes paresis. Pressure on the 3rd cranial nerve caused Steve’s eyes to be fixed and unreactive to light. It was also observed that Steve’s BP was 220/120 and HR:41 which is a case of Cushing's triad. His BP is high and has a widened difference of systolic and diastolic as the systolic needs to be high enough to perfuse the brain. In response to hypertension, parasympathetic nervous system is stimulated and heart rate becomes