Reference no: EM131847163

Roberto is a 65 year old retired man referred for evaluation of recent high blood pressure readings. He is diagnosed with Stage I Hypertension. He complains of headaches and nocturia. And recent weight gain.

He has diet controlled pre-diabetes. Family history of diabetes, hypertension and CVAs. He is a smoker (33 pack years), drinks 1-2 beers nightly, drinks 2 cups coffee in AM.

B/P 148/92 left arm, 150/90 right arm, apical 84, regular EKG & Chest x-ray: mild left ventricular hypertrophy

Labs: BUN 24

Serum creatinine: 1.5

Fasting Glucose: 95

Potassium: 4.0

Total cholesterol: 201

HDL: 30

Triglycerides: 167

Urine analysis: 1+ protein

List the following:

1. Treatment goals
2. Drug therapy to prescribe
3. How success of therapy will be evaluated
4. Patient education provided
5. List 1-2 possible drug related adverse reactions that would cause you to change treatment
6. Choice for second-line therapy
7. Dietary & lifestyle changes
8. Describe 1-2 drug-drug or drug-food interactions that could occur