How would you treat cl, How would you treat CL? What would

How would you treat cl

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Reference no: EM133798649

CASE
CL is a 48-year-old African American male with blood pressure readings today of 159/91 and 165/95. He states he is taking Advil Cold & Sinus for a cold x 1 week. Additional medications include adalimumab 40 mg subcutaneous injection every other week, Wellbutrin XL 300 mg daily and pantoprazole 40 mg daily 30 minutes before breakfast. How would you treat CL? What would you prescribe (include complete medication order)? What is his goal blood pressure per JNC 8? Get it done!

Goal Blood Pressure
According to the JNC 8 guidelines, the goal blood pressure for an African American male younger than 60 years old is less than 140/90 mm Hg2.
Current Medications and Interactions
Advil Cold & Sinus (ibuprofen/pseudoephedrine): This medication can increase blood pressure and may interact with other medications.
Adalimumab: No significant interactions with the current medications.
Wellbutrin XL (bupropion): No significant interactions with the current medications.
Pantoprazole: No significant interactions with the current medications.
Treatment Plan
Given CL's elevated blood pressure readings and the potential impact of Advil Cold & Sinus, the first step would be to discontinue the Advil Cold & Sinus and monitor his blood pressure. If his blood pressure remains elevated, initiating antihypertensive therapy would be appropriate.
Medication Order
Amlodipine 5 mg PO daily: A calcium channel blocker, which is recommended for African American patients.
Hydrochlorothiazide 25 mg PO daily: A thiazide diuretic, also recommended for African American patients.
Complete Medication Order
Amlodipine 5 mg PO daily
Hydrochlorothiazide 25 mg PO daily
Monitoring and Follow-Up
Recheck blood pressure in 1-2 weeks.
Monitor for any side effects or adverse reactions.
Adjust medications as needed based on blood pressure readings.
Would you like more details on any specific aspect of this treatment plan?

Reference no: EM133798649

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