Cardiac questions
For this week, please answer all the below. Please state which antihypertensive (if any) you would prescribe each patient. Please state a specific medication, dosage and frequency for each, along with a sentence or two rationale.A. 200 lb 65 yo male who is already on max dose Zestoretic (lisinopril/HCTZ). Brings in home BP log, which shows average of 160/92. Last GFR of 60. Hepatic enzymes fine. Comorbidities: chronic headaches – stress induced. (1 point)B. A newly-diagnosed type 2 diabetic. 43 yo female. Smoker. Asthmatic. BP’s consistently 140s/90s. GFR of 80 and hepatic enzymes mildly elevated. (1 point)C. 37 yo male. BP’s are well-controlled on 20 mg of lisinopril, however, he has developed a dry cough since starting this medication. Feels there is a correlation. (1 point)D. 45 yo African American. BPs 150s/90s. Also suffers from gout. (1 point)E. 78 yo male currently on ACE inhibitor and beta blocker for congestive heart failure, stage 3. Has chronic pitting ankle edema. Last potassium high-end normal. Last GFR of 40. Hepatic enzymes mildly elevated. (1 point)F. 27 yo male. BPs 150s/90s. No significant comorbidities. (1 point)G. You inherit a male, 55-year-old, diabetic patient with comorbid obesity, cigarette use and diabetes mellitus. His recent low density lipoprotein (LDL) is 150 mg/dL. Using the guidelines of the American Heart Association mentioned in your lecture, what is your prescribed treatment plan for this patient to lower his LDL (provide a specific medication and dose, please)? (1 point)He calls in two weeks stating he has developed myalgias since starting the medication. What do you do for this patient? (1 point)
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