Question 2383

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Question Answered step-by-step Week 6 – CardiacPlease state which antihypertensive (if any) you would prescribe each patient. Please state a specific medication and dosage for each, along with a sentence or two rationale. 1. 45-year-old African American with hypertension and newly diagnosed type 2 diabetes. He has normal renal and hepatic function. His comprehensive metabolic panel shows electrolytes to be within normal limits. No other comorbidities or medication allergies. (1 point) 2. A 35-year-old male who was achieving adequate blood pressure control on his 20 mg of lisinopril, which was added one month ago to his HCTZ, 50 mg. However, he has developed a dry cough on the medication. Apart from hypertension, no other comorbidities. No medication allergies. Comprehensive metabolic panel shows electrolytes to be within normal limits. (1 point) 3. A 65-year-old male with congestive heart failure, mild renal impairment (GFR of 55), hyperlipidemia and hypertension. He is on the below medications. His blood pressure log reveals an average of 161/96 mm Hg. This is consistent with today’s reading in the clinic. He admits he does not limit his salt intake nor his alcohol intake. (2 points) Lisinopril, 40 mg, dailyFurosemide, 20 mg, dailyPotassium chloride, 20 meq, dailyRosuvastatin, 40 mg, daily 4. 50-year-old African American female with new-onset hypertension. Blood pressure log reveals an average of 150/88 mm Hg, which is consistent with today’s reading. No other comorbidities. Her renal and hepatic function are intact and electrolytes within normal limits. (1 point) 5. You inherit a new patient to your clinic – a 64-year-old male with type 2 diabetes, mild renal impairment (GFR of 50), mild hepatic impairment, hyperlipidemia and chronic obstructive pulmonary disease. His electrolytes are within normal limits. His blood pressure log reveals an average of 159/94 mm Hg. The patient does not take his health seriously, does not exercise and makes no attempt at quitting smoking or eating properly. His medication list is below.  Lisinopril, 40 mg, dailyHCTZ, 50 mg, dailyPropranolol, 120 mg, dailyAtorvastatin, 40 mg, dailyAlbuterol, MDI, 1-2 puffs q4-6 hrs PRNUmeclidinium, DPI, 1 puff daily a. Upon review of his medication list, are there any medications that you feel should be changed (hint: he has COPD)? (1 point)b. What do you change this medication to? (1 point)c. Which new anti-hypertensive do you add to his regimen? (1 point) (remaining 2 points for spelling and grammar)  Health Science Science Nursing NURS 503 Share QuestionEmailCopy link Comments (0)

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