Mr. Russell is a 73-year-old male who presents to your clinic with complaints heart palpitations and light headedness on and off for the past 3 months. He has a history of hypertension and is currently prescribed HCTZ. He also is complaining of heartburn and belching after a large meal.

Vital Signs: B/P 159/95, Irregular HR 88, Resp. 22, Weight 99 kilograms

Lower extremities with moderate 3+edema noted in left leg, 2 + edema in right leg, ABD + BS, Neuro AOX3,

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,

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?

Solution:

What are your treatment goals for Mr. Russell today?

Taking into account the blood pressure of Mr. Russell of 159/95, his primary treatment goal is to reduce the BP to a normal or acceptable range. The American Heart Association (2018) stresses that normal blood pressure should be less than 120 mm Hg for systolic and less than 80 mm Hg for Diastolic. In this consideration, a normal range of blood pressure will play a pivotal role in the reduction of heart palpation as well as lightheadedness. The other treatment goal of Mr. Russell is to educate him on lifestyle changes such as exercise program and healthy diet for the purpose of managing his weight. The last treatment goal is to lower the cholesterol level from 234 to normal range of around 200.

What is your pharmacologic plan; please state your rationale for your plan?

The pharmacological plan in regards to the case of Mr. Russell is to use Amiloride in combination with HCTZ. Amiloride, which is a potassium sparing-diuretic typically helps the body in the absorption of salts as well as ensuring that the potassium level in the body is maintained. On the other hand, as asserted by Roush and Sica (2016), Hydrochlorothiazide, which is regarded as diuretic works by helping the body get rid of extra salt and water. Therefore, the combination of these drugs will be imperative in treating Edema…Please click the Paypal icon below to purchase full solution for only $10