JF is a 64 year old African American male who is transferring to your practice. He has no complaints, except for occasional headaches and some lightheadedness when getting up too quickly over the past month.

Norwich University Advanced Pharmacology Antihypertensive Medications Discussion

JF is a 64 year old African American male who is transferring to your practice. He has no complaints, except for occasional headaches and some lightheadedness when getting up too quickly over the past month. He admits to minimal exercise and states “I don’t add salt to my food”. His last visit to his PCP was 9 months ago.

PMH: HTN, Type II Diabetes, COPD

SH- occasional alcohol, 2-3 cups tea daily, smokes socially when going out.

Current meds: Hydrochlorothiazide 25 mg daily; Insulin glargine 20U daily hs; Metformin 1000 mg BID, tiotroprium (Spiriva) 1 capsule inhaled daily.

VS: 162/90 (sitting), HR 76, RR 16. Ht. 70” Weight 190 lbs. pulse ox 96%

Would you change his antihypertensive medications? If so, what would you change?

Provide the rationale using an evidenced base source for your choice.

List five things you would teach this patient?

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