Assignment
Mr. Russell is a 73-year-old Caucasian male who presents to your clinic with complaints palpitations and intermittent light-headedness for approximately 1 month. He is currently being treated for hypertension and is taking HCTZ 25mg daily. He also is complaining of heartburn and belching after eating a large meal.
Vital Signs: B/P 159/95 (right arm), B/P 162/96 (left arm), HR 88, Resp. 22, Weight 99 kilograms (previous weight at last appointment 2 months ago was 95kg
Physical Exam:
Constitutional: Alert & oriented, well-developed.
Neck: No carotid bruit or JVD.
Heart: Regular rate without murmur or gallop.
Lungs: Slight crackles in RLL but otherwise clear to auscultation.
Abdomen: Soft, non-tender with + BS.
Legs: Left leg with moderate 3+ edema on RLE and leg 2+ edema on LLE.
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,
1) What are your treatment goals for Mr. Russell today?
2) What is your pharmacologic plan and rationale? (cite with appropriate clinical practice guidelines or scholarly, peer-reviewed journals)
3) What are five key patient education points based on your plan?
4) How would your plan change if your patient is African American?
Format your assignment according to the following formatting requirements:
(1) The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
(2) The response also includes a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
(3) Also include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.