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G. F. a 49-year-old African American male presents with concerns about high blood pressure (BP). At his recent dentist visit,  he was told that his blood pressure was 142/90 mm Hg. He has no symptoms. He has no history of myocardial infarction, stroke, kidney disease, heart failure, or type 2 diabetes. Denies smoking or ETOH use. He has never taken medications for hypertension. He denies any allergies to medications.
 

On exam, his BP average is 150/95 mm Hg in the left arm while sitting. The physical exam is unremarkable except for obesity. EKG is unremarkable.

 

1. What initial laboratory studies would you include in your management of G.F? Provide EBP rationale.

 

2. What is your initial treatment regimen for G.F? Nonpharmacologic? Pharmacologic? Provide EBP rationale.

 

G.F returns to your office in 4 weeks for his blood pressure recheck.  On exam, his BP is 142/92 mm Hg. The results from his fasting lipid panel are as follows: Total cholesterol = 250 mg/dl, HDL = 45 mg/dl, LDL = 190 mg/dl, Triglycerides = 140 mg/dl. 

 

3. What are your next steps? Provide EBP rationale to support your answers.

 

SCIENCE
HEALTH SCIENCE
NURSING
NURS 6612

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