Andrew is a 56-year-old white male who comes into your clinic as a…
Question Answered step-by-step Andrew is a 56-year-old white male who comes into your clinic as a… Andrew is a 56-year-old white male who comes into your clinic as a new patient. During the past 2 moths he has been experiencing occasional headaches, which he attributes to increased stress at work. He denies chest pain, shortness of breath, dyspnea on exertion, or paroxysmal nocturnal dyspnea. He smokes one pack of cigarettes per day and has been smoking since age 20. He drinks 2 glasses of wine with dinner.BMI is 30 kg/m2 ; B/P is 168/98 in right arm and 170/94 in the left arm; Pulse is 84No thyromegaly or lymphadenopathyFundoscopic exam reveals narrowing of the arteries, arteriovenous nicking, and flame-shaped hemorrhages with cotton wool exudates.Cardiac exam: PMI is displaced 2 cm left of midclavicular line. S1 and S2 are normal and no murmurs are auscultatedLung and abdominal examinations are normal.EKG shows nonspecific T wave changes; no acute ischemic changesLabs: A1C 6.0; CMP all within normal limits; CBC within normal limitsTotal cholesterol: 280; HDL: 38; LDL196; Triglycerides 196Assessment:Essential HypertensionTobacco UseHyperlipidemiaPre-diabetesWhat is the treatment plan for Andrew today? Must use evidence based reference with citations on all questions· Pharmacologic? This should include any OTC medicationso Use blank prescription document to write prescriptions for your pharmacologic treatments· Nonpharmacologic? This should also include any patient education· Follow up and Referral?· No more than 3 pages for treatment planUse ASCVD Risk CalculatorCite any lab/diagnostic testing needed for before prescribing that are required and any needed for monitoring. State MOA of drug/drug class, ADME of each medication (shorsummation of 2 sentences), patient education/counseling or side effect education that should be included. Note pertinent drug-drug interactions (do not list every drug interaction. Can state CYP450 inhibitor etc. Or if the patient is already taking a medication that could be an issue), Black Box warnings and life span considerations? Health Science Science Nursing NURS 5334 Share QuestionEmailCopy link Comments (0)
