Circ Sys Bpmon Script PDF

English Language Patient Consultations CIRCULATORY SYSTEM Blood Pressure Monitoring

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CIRCULATORY SYSTEM : Blood Pressure Monitoring

History & Symptoms

OK. So, how can I help you today?

Well, due to the recent publicity about the blood pressure tablets, my

prescription is nearly due for a repeat.

Right.

…so I thought I ought to consult you before I just pop it into the box.

So you’ve just come today just for advice. Have you?

Yes, I have, please.

That’s fine. I’ll have to just go and brief myself about what you are taking

at the moment…… it’s enalapril.

Yes.

And that’s the only medication that you are taking.



That’s right.

Now, just so that I am aware of this, in your own words, are you taking

that just for blood pressure or for any other reasons at all?

No. No.

That’s fine. I’ll just check one other thing. That’s fine. Well, the good

news for you is that this is in fact… They were talking about 4 classes of medication for blood pressure. we call them the ABCD’s of blood pressure. We used to prescribe all four of them for different people for different reasons. It’s the ‘B’ one, the B blockers, that there’s been a concern about. There may be people, they are not dangerous, but they are just not the best.

Yes.

And you happen to be on A, which is number 1 choice for people within

your age group for blood pressure management. So, provided your blood pressure is well managed and there is no other issues on the blood tests that you’ve had. Have you—I presume you have had a blood test?

I’ve had yes, yes.

Um, then, you are on the optimum choice of medication that’s just been

recently advised.

OK. Thank you.



Um, when was the last time you had your blood pressure checked? Do

you remember?

November, I believe.

November time. So, we’re looking at about 7 months ago, aren’t we? It

might be an idea just to do that now (that) you are here. Physical Examination

Thank you.

Was there any particular reason you were concerned? Was it because

you didn’t know which type you were taking.

No. I knew which one it was.

Yes.

It was just that a…

Yes. I’ll do the other arm.

with all the publicity, it said to come and see the Doctor before having

any more tablets.



Tablets. That’s fine.

So, I thought it was nearly due—the prescription.

Yes. But it’s a good idea that you keep your eye on the blood pressure

every six months to a year anyway, so—as you’re here...

Yes.

Let’s see here. Now, the good news is that the one that we’re changing

people to is the one that you’re on! So...

Oh—a, right. The only thing is, I wish it could… the doses could be

reduced a little bit.

Why is that?

I just prefer it. If I had it my way, I wouldn’t take tablets at all but I know

they’re necessary for certain conditions, and I’m grateful for them, but…

Yes.

I was just hoping that eventually they could be reduced a little bit…

OK. Keep your arm just nice and relaxed, so all the tension is out of the

arm; just let it rest on your lap. That’s good. I’ll have a quick look at the last



blood pressures and I’ll compare this one. OK. I’ll just repeat that one more time. It’s just a little bit on the high side, but it could be the environment we’re in here today. Diagnosis & Explanation

OK. It is worth saying, actually, that the dose that you are on is probably the lowest dose that we have on enalapril.

Yes.

Or one of the lowest doses. Um, so, you know, you’re not on a great

big dose of it, anyway.

Yes.

Um, and I certainly wouldn’t want to reduce it. We’ll see what the

second blood pressure shows. If these blood pressures are raised because of the environment we’re in today, they’ve been fine, haven’t they, the past couple of times—in fact, it’s already coming down a little bit. My advice would be just so you that you are in an environment where we haven’t got a camera filming you, perhaps it would be a good idea to repeat the blood pressure again in about another month.

Yes.

With a nurse.

That’s right. Thank you.



Treatment & Advice

Um, was there anything else that I could help you with today?

No, not today, thank you very much.

OK. So, you are on the right one. Certainly with the readings we are

getting now, they are not quite as good as they were, but certainly there is no reason for concern. That could be an artificial thing because of the environment of the consultation today, so if you could arrange with the girls downstairs to have another blood pressure in about another month’s time

Yes.

And in terms of reducing the dose, I wouldn’t be keen on that.

Yes. Fair enough.

It is a medication which is really aimed at preventing things for you in

the future…

Yes.

… rather than treating an illness now and—you know...

Yes. I’m very careful of what I eat and that sort of thing and I’m a little bit

disheartened that the blood pressure is still so high.



Well, I think at this stage, it’s—er … I’m not relying on this one 100%.

It’s not sky-high. It’s just higher than it has been.

Yes.

Um, I think that can be for the reasons of the circumstances of this

consultation. So, that’s why I’m comfortable if we wait three or four weeks, repeat it again, maybe with Maria…

Yes.

And if she finds it’s borderline or high, she’ll ask us to see you again.

But at this stage, carry on as you are.

OK. Thanks very much.

OK. Thank you very much again.

Thank you.

Bye, then.

Documents

Circ Sys Bpmon Script PDF