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.
This is a 60 year old African American male with a BMI of 32 placing him in the obese category. He has had hypertention (HTN) and type two diabetes (DM) for the past twelve years. He is currently taking Maxzide which is a combination of two different diuretics triamterene which potassium sparing /hydrochlorothiazide which is a thiazide diuretic. I would increase his Maxzide to 75/50 mg po daily if his…show more content… I would also get him involved in a cardiac rehab program in order to make sure he is started on an exercise program appropriate for his medical condition and assist with educating him on a healthy lifestyle.
References
Buckley, L. (2014, August 15). nrc | triamterene and hydrochlorothiazide (dyazide, maxzide). Retrieved from http://hldemo.ebscohost.com/EIT2Demo/record?db=nrc&an=T703558&product=nrc
Flack, J., Nasser, S., & Levy, P. (2011). Therapy of hypertension in African Americans. American Journal of Cardiovascular Drugs, 11(2), 83-92. Retrieved from http://www.medscape.com/viewarticle/740380_4
Vijan, S., & Hayward, R. A. (2003). Treatment of hypertension in type 2 diabetes mellitus: Blood pressure goals, choice of agents, and setting priorities in diabetes care. Annals of Internal Medicine, 138(7), 593-602. doi:10.7326/0003-4819-138-7-200304010-00018
Woo, T. M., & Wynne, A. L. (2011). Pharmacotherapeutics for nurse practitioner prescribers (3rd ed.). Philadelphia, PA: F.A. Davis