sou nsg6005 Week 3-Assignment 1 Discussion latest 2017

Week 3 – Assignment 1
Discussion

Select one of the two questions from the discussion
questions listed below. By Week 3, Day 3, respond to the selected discussion
question and submit your response to this Discussion Area.

Be sure to respond to the question using the lessons and
vocabulary found in the reading. Justify your answers using examples and
reasoning. Support your answers with examples and research and cite your
research using APA format.

Start reviewing and responding to the postings of your
classmates as early in the week as possible. Respond to at least two of your
classmates’ posts. Participate in the discussion by asking a question,
providing a statement of clarification, providing a point of view with a
rationale, challenging an aspect of the discussion, or indicating a
relationship between two or more lines of reasoning in the discussion.

Discussion Question 1

CF is a sixty-year-old African American male who presents as
a new patient for initial evaluation and follow-up. He has been diagnosed with
hypertension for the last twelve years and Type 2 diabetes for the same period
of time. His current blood pressure is 162/90, with a pulse of 76. His body
mass index (BMI) is 32. He is currently taking Maxzide 37.5/25 mg every
morning. This is the only antihypertensive medication he has taken.

For this question, focus on the treatment of hypertension.
Discuss the influences of his age, gender, and ethnicity on hypertensive
medications. On the basis of an analysis of those factors, provide one option
for improvement of his blood pressure and provide a clear and specific
justification for that choice. Be sure to include dosage and scheduling.
Include highlights of patient teaching and/or recommendations for any lifestyle
changes. Support your decisions with at least one reference to a published
clinical guideline and one peer-reviewed publication.

Discussion Question 2

MT is a fifty-six-year-old obese (BMI 31.5) Caucasian female
with a significant family history of cardiovascular disease. She has
uncontrolled hypertension and is currently taking metoprolol 50 mg twice daily.
She has dyslipidemia and is taking exetimibe 10 mg daily and garlic. Her
current cholesterol is 240 mg/dL, HDL is 41 mg/dL, LDL is 163 mg/dL, and
triglycerides are 183 mg/dL. Her blood pressure today is 174/94, and her pulse
is 90.

Review the medications she is taking for hypertension and
dyslipidemia. Evaluate the efficacy of these medications. Review them in terms
of her age, gender, and ethnicity. Suggest any changes you would recommend,
with clear justification for those choices. For medications, include dosages
and schedules. Include highlights of patient teaching and/or lifestyle
alterations. Support your decisions with at least one reference to a published
clinical guideline and one peer-reviewed publication.

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