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Sara is a 45-year-old female presenting for her annual exam. Her blood pressure today is 160/90 HR 84 RR 16. Her height is 64 inches and her weight is 195. Her last visit to the clinic 3 months ago shows a BP of 156/92. She is currently taking ibuprofen 600 mg tid for back pain. She has no known allergies. What is the goal for her blood pressure? What medication would you prescribe to treat her blood pressure? What education would you prescribe?
To Prepare:
· Review the case studies (attachment) and answer ALL questions.
· When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications.
· Use clinical practice guidelines in developing your answers. Please review all Required Learning Resources. Use the Medscape app or website and JNC 8 to complete assignment.
· Include at least three references to support each scenario and cite them in APA format. Please include in-text citations. You do not need an introduction or conclusion paragraph.
Current guidelines to use for Cases
1.2023 ESH Hypertension Guideline Update
https://www.acc.org/Latest-in-Cardiology/Articles/2024/02/05/11/43/2023-ESH-Hypertension-Guideline-Update#:~:text=The%20ESH%20guidelines%20target%20BP,140%20and%20150%20mm%20Hg.Links to an external site.
2. GOLD COPD
3. Asthma -The 2023 Global Initiative for Asthma (GINA) guidelines for asthma treatment include two tracks for adults and adolescents 12 and older:
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