Cardiac Renal Prescribing Question & Answer Guide (With Explanation)

Students often encounter this when studying fundamental concepts.

What This Question Is About

This question relates to cardiac renal prescribing and requires a structured academic response.

How to Approach This Question

Structure your response with introduction, analysis, and conclusion.

Key Explanation

This topic involves cardiac renal prescribing. A strong answer should include explanation, application, and examples.

Original Question

Cardiac-Renal Prescribing Case Mary Smith is a 59-year-old female with high blood pressure who comes in for a recheck. Her previous doctor retired. She has been on BP meds for years [prescribed by her previous provider and her son in law, who is a nephrologist]. She says he feels well, but her BP has been running high. She shows you her BP log- systolic 160s-170 and diastolic 88-98. She denies CP, SOB or edema. She still works part time in the technology company that she founded 25 years ago. She does not smoke or drink. She has no allergies. Past Medical History- CAD [stent in right coronary at the age of 40]; Proteinuria; HTN; Dyslipidemia, Obstructive Sleep Apnea [on CPAP] Current Medications-Hydralazine 50 mg BID; HCTZ 25 my each AM; Crestor 40 mg each evening; ASA 81 mg [she says he only takes it on the days that the top number on her BP is less than 160 mm Hg]. On exam today, you see a 59 yo Caucasian female who is 5’4″ 200 pounds. VS: 98-60-18 164/94 . CBC, CMP normal; TSH normal; Urine analysis normal except 1+ proteinuria BS 110 mg/dL; creatinine 1.0 mg/dL What will you prescribe for Mary’s BP? Please note, do not stop her current medications.

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