What are the appropriate treatment targets for this patient

Reference no: EM133657543

Mr. So is a 50-year-old accountant who was admitted 2 days ago to hospital following a fall while playing football with his son. His preliminary examination reveals bruising to his left arm and upper thigh for which he has been prescribed Tylenol 1 gram four times daily and has required ibuprofen 400 mg three times a day.

His past medical history indicates that he is on no medication and is a reasonably fit man with no preexisting medical conditions. On examination he is slightly overweight at 81 kg, he smokes 20 cigarettes per day and drinks approximately 12 bottles of beer per week. His blood pressure on admission was 165/80 mmHg with a heart rate of 90 beats per minute. He is diagnosed with hypertension.

Questions
1. What are the appropriate treatment targets for this patient's blood pressure? If Mr. So had diabetes, what would be his target blood pressure?
2. Besides blood pressure, what other advice and treatment does this patient require to ensure his risk of a cardiovascular event is reduced? Give clear reasons for your advice and explain the risks associated with not taking this advice.
3. What are the five main classes of drug used to treat hypertension? For one of the classes of drugs mentioned indicate the following:
a drug from that class
a suitable starting dose and frequency
the maximum dose for hypertension
three contraindications
three common side-effects
4. Which class of drug would be appropriate first-line treatment for Mr So? How would this treatment choice be affected if the client was black? also provide intext citations and references

Reference no: EM133657543

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