Week 3: Discussion

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Mr. Russell is a 73-year-old male who presents to your clinic with complaints heart palpitations and light headedness on and off for the past 3 months. He has a history of hypertension and is currently prescribed HCTZ. He also is complaining of heartburn and belching after a large meal.

Vital Signs: B/P 159/95, Irregular HR 88, Resp. 22, Weight 99 kilograms

Lower extremities with moderate 3+edema noted in left leg, 2 + edema in right leg, ABD + BS, Neuro AOX3,

Labs: NA 143mEq/L, CL 99 mmol/L BUN 18mg/dL, Hbg 15, TC 234 mg/dL, LDL 137 mg/dL, HDL 35 mg/dL, triglycerides 241mg/dL,

• What are your treatment goals for Mr. Russell today?
• What is your pharmacologic plan; please state your rationale for your plan?
• What are five key patient education points based on your plan?
• How would your plan change if your patient is African American?