You are seeing a new older African American male patient who comesinto the office wanting to have h

You are seeing a new older African American male patient who comesinto the office wanting to have his blood pressure checked. The patient has a long-standing history of poorly controlled hypertension secondary to not being seen by a provider or obtaining medication. He does not monitor his BP and his reading today is 197/86. Reports he drinks a 12 pack of beer daily. He reports an allergy to Sulfa drugs, breaking out in a miserable rash. You do a urine dip in the office and note it is positive for 1+ glucose and protein. Based on these findings you suspect the patient has undiagnosed diabetes type 2. You order labs and the results come back with a random glucose value of 193, HgbA1C 8.5, a serum creatinine of 1.6mg/dL (ref range for a male is 0.70 – 1.2mg/dL for male) and elevated LFTs (2-3x above normal range) You negotiate with the patient a medication regimen for both his newly diagnosed diabetes and his long-standing hypertension. Which of the following is the appropriate medication regimen for this patient?1. Metformin and calcium channel blocker2. Victoza and ACE inhibitor3. Metformin and ACE inhibitor*4. Victoza and calcium channel blocker   Health Science Science Nursing NU 636 Share QuestionEmailCopy link Comments (0)

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