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October 22, 2024

Sarah Johnson is a 32-year-old pregnant female at 24 weeks gestation

Sarah Johnson is a 32-year-old pregnant female at 24 weeks gestation. PMH consists of hypertension x 3 years and acne treated with isotretinoin and spironolactone 50 mg po daily. She denies smoking and alcohol but drinks 3 cups of coffee per day. Lisinopril 10mg daily was discontinued due to pregnancy. She presents for a routine prenatal visit. Labs include Hgb 12.8, HCT 39.9, K 4.7, glucose 78, BUN 12, Cr 0.78. Her blood pressure is 150/95 mmHg, measured twice with a 5-minute interval. What treatment plan would you implement for Sarah? How would you treat her hypertension (include a complete medication order)? How would you monitor drug therapy and what is her goal blood pressure?

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