Year Pacific Islander Assignment Help: How to Answer This Question

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What This Question Is About

This question relates to year pacific islander and requires a structured academic response.

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Use appropriate theories and support your answer with clear reasoning.

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Original Question

Mr. B is a 60-year-old, Pacific Islander, male Source: Self, reliable source Subjective: Chief complaint: “I am here for my physical.” HPI: The patient presents for an annual physical. He denies any chest pain or shortness of breath. He does not exercise and admits he enjoys salty foods. His latest lab values show hepatic enzymes to be within normal limits. His recent serum potassium level is 4.1 mEq/L (normal range 3.5-5.2 mEq/L). His glomerular filtration rate is 60. His most recent home blood pressure cuff reveals an average blood pressure of 155/91 mmHg. Allergies: NKA Current Mediations: Aspirin, 81 mg, daily Hydrochlorothiazide, 50 mg daily Ipratropium MDI, 17 mcg/inhalation, 1-2 inhalations every 4-6 hours PRN Omeprazole, 20 mg, daily Rosuvastatin, 10 mg, daily Salmeterol MDI, 50 mcg/inhalation, one inhalation BID Pertinent History: GERD, COPD, hypertension, hyperlipidemia Health Maintenance/Immunizations: Immunizations and pertinent screening up-to-date Family History: Father – Myocardial infarction (deceased age 52) Mother – Atrial fibrillation (deceased age 79) Social History: Patient lives with his wife and two children. He denies smoking, alcohol or drug use. ROS: Incorporated into HPI Objective: VS – BP 156/96 mmHg, HR 85, RR: 16, temp 97.6, oxygenation 95%, weight 122 kg, height 64 inches Mr. B is alert, awake, oriented x 3. Patient is clean and dressed appropriate for age. Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop. No peripheral edema or jugular vein distention Respiratory: Clear to auscultation Please answer all of the following, utilizing the most recent guidelines of the American College of Cardiology/American Heart Association that we discussed in class. Reminder that there may be multiple correct answers, or no correct answers. (2 points for each question and the remaining 2 points for proper spelling and grammar) 1. Is the addition of lisinopril appropriate for this patient? If you do prescribe him this medication, please provide the dose and frequency of administration; if not, please provide your rationale. 2. Is the addition of amlodipine appropriate for this patient? If you do prescribe him this medication, please provide the dose and frequency of administration; if not, please provide your rationale. 3. Is the addition of propranolol appropriate for this patient? If you do prescribe him this medication, please provide the dose and frequency of administration; if not, please provide your rationale. 4. Is the addition of chlorthalidone appropriate for this patient? If you do prescribe him this medication, please provide the dose and frequency of administration; if not, please provide your rationale.

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