FNP 590 HTN CASE STUDY| LATEST CASE

FNP 590 HTN CASE STUDY| LATEST CASE Mr. Smith is a 64-year-old African American male. He was diagnosed with hypertension and hyperlipidemia 5 years ago and has not taken meds regularly for the last year. He states he has been experiencing chest pain when working around the house and sometimes while on his evening walk. He also complains that his feet are swelling in the evening. His vitals today: P-105, B/P-165/100, R-20. Wt-260 Ht-5’9” Labs: TC- 240, LDL- 145, HDL- 30, Trig-250. Sulfa allergy. You are assigned as his new PCP. Hypertension is a major preventable factor in disease and death in the United States that contributes to stroke, kidney disease, and heart attacks. African Americans have a higher incidence of hypertension and its related comorbidities than other races. Hypertension is the leading cause of cardiovascular disease in the United States. Inadequate control of blood pressure is often multifactorial, with poor diet, physical inactivity, nonadherence to medication, patient- knowledge deficits, and lack of social support, all contributing (Lackland, 2014). Mr. Smith is at risk for several comorbidities. Mr. Smith is an obese African American male who has hypertension stage II, hyperlipidemia, and angina and does not adhere to medication management. What medication recommendations will you make? Include the drug class, generic and trade name, and starting dose range. Provide rationale for your choices.