Dyslipidemia Management

CASE SUMMARY: Ms. Felicia A. Thorngrass is a 56-year-old female. Presents today for medication refill prescriptions and to establish care. Ms. Thorngrass is post-menopausal with a medical history of hypertension, dyslipidemia, and obesity. She reports a family history of cardiovascular disease. Her father had a MI and both her sisters has hypertension and one has had “mini-strokes”. She complains of shortness of breath and muscle cramps with exertion. Patient plan today will include refilling all of patient medications, while it seems her blood pressure is uncontrolled, patient is agitated and may have not taking metoprolol due to the fact she hasn’t had primary care visit in 11 months; discontinue to naproxen sodium and ibuprofen, may use Tylenol for pain and begin Tricor (fenofibrate) for treatment of dyslipidemia; referrals to physical therapy for evaluation, Care Coordinator/Population health nurse for health coaching, and OB/GYN; and return to office in four weeks for follow up.