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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, Â 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.
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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.
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1. What initial laboratory studies would you include in your management of G.F? Provide EBP rationale.
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2. What is your initial treatment regimen for G.F? Nonpharmacologic? Pharmacologic? Provide EBP rationale.
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G.F returns to your office in 4 weeks for his blood pressure recheck. Â 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.Â
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3. What are your next steps? Provide EBP rationale to support your answers.
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HEALTH SCIENCE
NURSING
NURS 6612