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Evaluation of recent high blood pressure readings

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Reference no: EM131902825

Roberto is a 65 year old retired man referred for evaluation of recent high blood pressure readings. He is diagnosed with Stage I Hypertension. He complains of headaches and nocturia. And recent weight gain.

He has diet controlled pre-diabetes. Family history of diabetes, hypertension and CVAs. He is a smoker (33 pack years), drinks 1-2 beers nightly, drinks 2 cups coffee in AM.

B/P 148/92 left arm, 150/90 right arm, apical 84, regular EKG & Chest x-ray: mild left ventricular hypertrophy

Labs: BUN 24

Serum creatinine: 1.5

Fasting Glucose: 95

Potassium: 4.0

Total cholesterol: 201

HDL: 30

Triglycerides: 167

Urine analysis: 1+ protein

List the following:

  1. Treatment goals
  2. Drug therapy to prescribe
  3. How success of therapy will be evaluated
  4. Patient education provided
  5. List 1-2 possible drug related adverse reactions that would cause you to change treatment
  6. Choice for second-line therapy
  7. Dietary & lifestyle changes
  8. Describe 1-2 drug-drug or drug-food interactions that could occur

Reference no: EM131902825

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