Access over 20 million homework & study documents
search

African American Male Patient with Hypertension Case Analysis

Content type

User Generated

Subject

Health & Medical

Type

Case Study

Rating

Showing Page:
1/7
There is relevant and specific information about the patient. For instance is a 64 year old African
American male. He is already diagnosed with hypertension and hyperlipidemia 5 years ago.
During the last year he has been non compliant with the medications. The patient reported chest
pain when working around the house and sometimes while walking. He also informed about
swollen feet in the evening. Vital signs today: P-105, B/P-165/100, R-20. Wt-260, Ht-5’9”.
Labs: TC- 240, LDL- 145, HDL- 30, Trig-250. The client is allergic to Sulfa.
The BMI of the patient is 38.4 which according to the CDC correspond to Class 2 obese which
place him at increased risk for a variety of diseases and detrimental health conditions. (CDC,
2020)
1. What medication recommendations will you make? Include the drug class, generic and
trade name and starting dose range. Provide rationale for your choices.
a. Thiazide diuretics, hydrochlorothiazide, Esidrix, HydroDiuril and Microzid.
starting dose range is 25 to 50 milligrams per day for hypertension and up to 100
milligrams for edema.
b. Calcium Channel Blockers, Dihydropyridine. Amlodipine, Norvasc, Katerzia.
Dose 5 mg/day PO initially; may be increased by 2.5 mg/day every 7-14 days; not
to exceed 10 mg/day maintenance: 5-10 mg/day
c. Lipid-Lowering Agents, Statins; HMG-CoA Reductase Inhibitor. Atorvastatin,
trade name Lipitor. Dose 10-20 mg PO per day initially

Sign up to view the full document!

lock_open Sign Up
Showing Page:
2/7
Rationale: Before prescribing this medication I would ask the patient’s what allergic
reactions to sulfa he has had. If he does not have had a life-threatening reaction and if he
is not allergic to more than one class of sulfonamides then I will administer a test dose,
orally in a monitored environment.
I considered the allergy to sulfa. There is a review of literature advising that even though
there is a theoretical concern about hypersensitivity to loop or thiazide diuretics in
patients with a history of sulfonamide allergy the actual risk will likely be small. The
cross-sensitivity symptom that were reported more often were cutaneous rashes
suggestive of T-cell pathogenesis rather than IgE antibody-dependent reactions.
(Sternlicht, MD, H., 2018). Therefore I will educate the patient in regards of
hypersensitivity symptoms and monitor him frequently.
The majority of large clinical trials have publicized that thiazide (THZ) and thiazide-type
diuretics along with calcium channel blockers are more effective in lowering blood
pressure and in reducing cardiovascular and cerebrovascular events in African Americans
(Still et al., 2015).
If the patient is allergic to hydrochlorothiazide then I choose the diuretic, Potassium-
Sparing amiloride, trade name Midamor. Dose 5-10 mg/day PO qDay OR divided q12hr.
Patients treated with Atorvastatin had reduced hyperlipidemia significantly. Having lower
price Atorvastatin results more cost-effective. (Roy, 2020)
2. Discuss any potential side effects and drug interactions for this patient.
There are no drug interactions between the above mentioned drugs.

Sign up to view the full document!

lock_open Sign Up
Showing Page:
3/7

Sign up to view the full document!

lock_open Sign Up

Unformatted Attachment Preview

There is relevant and specific information about the patient. For instance is a 64 year old African American male. He is already diagnosed with hypertension and hyperlipidemia 5 years ago. During the last year he has been non compliant with the medications. The patient reported chest pain when working around the house and sometimes while walking. He also informed about swollen feet in the evening. Vital signs today: P-105, B/P-165/100, R-20. Wt-260, Ht-5’9”. Labs: TC- 240, LDL- 145, HDL- 30, Trig-250. The client is allergic to Sulfa. The BMI of the patient is 38.4 which according to the CDC correspond to Class 2 obese which place him at increased risk for a variety of diseases and detrimental health conditions. (CDC, 2020) 1. What medication recommendations will you make? Include the drug class, generic and trade name and starting dose range. Provide rationale for your choices. a. Thiazide diuretics, hydrochlorothiazide, Esidrix, HydroDiuril and Microzid. starting dose range is 25 to 50 milligrams per day for hypertension and up to 100 milligrams for edema. b. Calcium Channel Blockers, Dihydropyridine. Amlodipine, Norvasc, Katerzia. Dose 5 mg/day PO initially; may be increased by 2.5 mg/day every 7-14 days; not to exceed 10 mg/day maintenance: 5-10 mg/day c. Lipid-Lowering Agents, Statins; HMG-CoA Reductase Inhibitor. Atorvastatin, trade name Lipitor. Dose 10-20 mg PO per day initially Rationale: Before prescribing this medication I would ask the patient’s what alle ...
Purchase document to see full attachment
User generated content is uploaded by users for the purposes of learning and should be used following Studypool's honor code & terms of service.

Anonymous
Great! Studypool always delivers quality work.

Studypool
4.7
Trustpilot
4.5
Sitejabber
4.4