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Asked by JusticeKangaroo5658
You are practicing in a primary care office. You are seeing a 50-year-old Caucasian, obese (BMI 32) gentleman for a check up. He is not in acute distress. He has had two consecutive blood pressure readings (at two separate visits) of 148/92 and 153/87. Today his blood pressure reading is 158/94. Past medical history is otherwise unremarkable with no other comorbid conditions. He is a current 1/2 pack per day smoker. Please respond to the following questions. 1. Based on the current guidelines, what stage of hypertension does this patient have? 2. What medication (drug class, drug choice, dose, frequency, titration if necessary) would you select to treat this patient’s high blood pressure? Please provide rationale for your drug selection. 3. Would your drug selection differ for a Black/African patient and why? What class/drug/dose would you recommend? 4. In the event that your hypertensive patient has pre-existing asthma, which class of drug should be used cautiously and why? 5. What class(es) of antihypertensive drugs would be first choice if this patient had diabetes? Would this change your drug selection from previously, and if so, which drug/dose/frequency would you suggest instead? 6. What antihypertensive drug would be helpful if this patient
SCIENCE
HEALTH SCIENCE
NURSING

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