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Clinical Cases 5 & 6

Clinical Cases 5 & 6

Q CLINICAL CASE 5 BLOOD FLOW AND BLOOD PRESSURE High Blood Pressure Treatment and Erectile Dysfunction A man in his late fifties went to his doctor only to discover that he had high blood pressure. The doctor prescribed some BP medication to help him out. And it did—for the most part. Everything seemed to be back on track; sexual arousal and performance were near normal. But just a week after, the erectile dysfunction started appearing. Questions 1. Did blood pressure drug itself cause the negative effect on his sexual performance? 2. If yes, which types of Blood Pressure medications cause this problem, and what percentages of men experience it? 3. What is the mechanism of this problem? 4. What is the percentage of men stop taking medication for interfering with sex life?

Q CLINICAL CASE 6 VASCULAR SYSTEM Mr. Hutchinson, a middle-aged man, becomes a victim of a collision accident He is admitted in an unconscious state His right lower leg that was pinned beneath the bus for at least 30 min, is blanched, cold and without pulse He has compound fracture of the right tibia Blood pressure is 90/48; pulse 140/min an thready; patient diaphoretic (sweaty) Questions 1. What is the condition of the tissues in the right lower leg? 2. Will the fracture be attended to, or will Mr. Hutchinson’s other homeostatic needs take precedence? Explain. 3. What do you conclude regarding Mr. Hutchinson’s cardiovascular measurements (pulse and BP)? 4. What measurements will be taken to remedy the situation before commencing surgery?

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Yes the blood pressure medication can be a factor for this sexual performance. The side effect of some blood pressure medications can be erectile dysfunction (ED). An erection cannot be achieved and maintained without normal blood flow to the penis, which can be interfered with by these medication (Sarma et al., 2019)s. Diuretics, beta blockers, and certain types of antihypertensive drugs are commonly associated with ED. Erectile dysfunction (ED) is most often caused by antihypertensive medications in the beta blocker class. Blood pressure and heart rate are lowered with beta blockers by blocking the action of adrenaline. ED can, however, also be exacerbated by beta blockers, which slow the heart rate and restrict blood flow to the penis. Non-selective beta blockers typically cause this side effect because both beta-1 and beta-2 receptors are blocked by these drugs (Sarma et al., 2019).