Roberto is a 65 year old retired man referred for evaluation of recent high blood pressure readings. He is diagnosed with Stage I Hypertension. He complains of headaches and nocturia. And recent weight gain.
He has diet controlled pre-diabetes. Family history of diabetes, hypertension and CVAs. He is a smoker (33 pack years), drinks 1-2 beers nightly, drinks 2 cups coffee in AM.
B/P 148/92 left arm, 150/90 right arm, apical 84, regular EKG & Chest x-ray: mild left ventricular hypertrophy
Labs: BUN 24
Serum creatinine: 1.5
Fasting Glucose: 95
Potassium: 4.0
Total cholesterol: 201
HDL: 30
Triglycerides: 167
Urine analysis: 1+ protein
List the following:
- Treatment goals
- Drug therapy to prescribe
- How success of therapy will be evaluated
- Patient education provided
- List 1-2 possible drug related adverse reactions that would cause you to change treatment
- Choice for second-line therapy
- Dietary & lifestyle changes
- Describe 1-2 drug-drug or drug-food interactions that could occur