Problem
Mr. Russell is a 69-year-old male who presents to your clinic with complaints heart palpitations and light headedness on and off for the past month. He has a history of hypertension and is currently prescribed HCTZ.
Vital Signs: B/P 180/95, Irregular HR 78, Resp. 20, Weight 99 kilograms
Lower extremities with moderate 3+edema noted bilaterally, ABD + BS, Neuro AOX3,
Labs: NA 143mEq/L, CL 99 mmol/L BUN 18mg/dL, Hbg 15.
• 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?