SOLVED3046

A 58-year-old patient with a 15-year history of hypertension well controlled on lisinopril and hydrochlorothiazide presents with a headache and shortness of breath for the past 3 hours. His vital signs include a blood pressure of 210/90 mm Hg. On physical examination, he has diffuse pulmonary crackles bilaterally. His creatinine is 1.7 mg/dL, sodium (Na+) is 136 mEq/L, potassium (K+) is 3.4 mEq/L, CO2 is 27, and blood urea nitrogen (BUN) is 48 mg/dL. His creatinine was 1.2 mg/dL a year ago. In addition to a calcium channel blocker for better blood pressure control, what is the most appropriate next step? • A. Add losartan •B. Percutaneous revascularization • c. Observation • D. Vascular reconstruction surgery
SCIENCE
HEALTH SCIENCE
NURSING

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