Any topic (writer's choice)

Instructions

Mr. Russell is a 73-year-old Caucasian male who presents to your clinic with complaints of palpitations and intermittent light-headedness for approximately 1 month. He is currently being treated for hypertension and is taking HCTZ 25mg daily. He also is complaining of heartburn and belching after eating a large meal.Vital Signs: B/P 159/95 (right arm), B/P 162/96 (left arm), HR 88, Resp. 22, Weight 99 kilograms (previous weight at last appointment 2 months ago was 95kgPhysical Exam:Constitutional: Alert & oriented, well-developed.Neck: No carotid bruit or JVD.Heart: Regular rate without murmur or gallop.Lungs: Slight crackles in RLL but otherwise clear to auscultation.Abdomen: Soft, non-tender with + BS.Legs: Left leg with moderate 3+ edema on RLE and leg 2+ edema on LLE.Labs: NA 143mEq/L, CL 99 mmol/L BUN 18mg/dL, Hbg 15, TC 234 mg/dL, LDL 137 mg/dL, HDL 35 mg/dL, triglycerides 241mg/dL,1. What are your treatment goals for Mr. Russell today?2. What is your pharmacologic plan and rationale? (cite with appropriate clinical practice guidelines or scholarly, peer-reviewed journals)3. What are five key patient education points based on your plan?4. How would your plan change if your patient is African American?

Answer

Case studyTo manage Mr. Russells condition, I need to continue managing the patients blood pressure until it drops to the normal range. I will also need to put Mr. Russell on oxygen therapy to increase his blood oxygen concentration (Dsing, 2020). I would also administer medications to reduce his heartburn. I would also need to manage Mr. Russells weight in such a way that he does not gain weight rapidly.The pharmacological plan for Mr. Russell should first start by managing his hypertension and making sure that whenever he visits a health facility he is accompanied by a relative who understands the need for lowering his blood pressure. Secondly, he would need to start exercising to reduce weight which is a huge contributor to hypertension. Mr. Russell should also make sure that he takes...
To avoid plagiarism, part of the answer is hidden. Click on the button below to order the full answer.
Order Answer Back
Price Calculator
Manage orders
Why we are Ranked the best
  • Unlimited Revisions
  • Free 24/7 Support and chat
  • Money back guaranteed
  • Low prices with discounts
  • Experienced writers.
  • Free Unlimited support

Hear from our customers

Get a quote Chat with support Find an expert Frequently asked questions