Discussion 1
Lorraine is a 64-year-old African American female who has been monitoring her blood pressure at home. She brings a log of home readings with the following ranges: 150-222/102-88. Her blood pressure in the office today is 160/92. She has her BP monitor with her and the reading on the monitor is similar to today’s office reading. She states that she has swelling in both ankles at night, but the swelling usually resolves overnight. She wears compression hose at work as she is on her feet for most of her 10-hour shift. She has no comorbid conditions and no known allergies at present. Her mother and sister have hypertension and encouraged Lorraine to seek care.
Initial treatment of an African American patient will be lifestyle changes and a diuretic.
Choose a diuretic and discuss the
1) mechanism of action
2) monitoring
3) side effects
4) In addition, share a time when the use of this medication resulted in a positive or negative outcome in a patient for whom you were caring.
5) Discuss evidence and treatment guidelines to determine appropriate therapeutic options for this patient. Include the name of the medication in the subject line so that the medications can be followed. Include references using APA format.
Discussion 2
Select a medication used for the treatment of newly diagnosed hypertension, chronic hypertension, or malignant hypertension, other than a diuretic. Share the
1) mechanism of action of this medication
2) hints for monitoring
3) side effects and drug interactions
4) including CAM (Complementary and Alternative medicine) of which one should be aware.
5) Discuss how ethnic, genetic, or cultural differences affect how you treat the patient and explain any adverse effects or drug interaction associated with the agents used to treat cardiovascular disease.
6) Give examples of how you would modify your approach based on these factors. Include the name of the medication in the subject line so that the medications can be followed. Include references using APA format.
