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Original Question
peer response with references: Provide your diagnosis. I10 Essential (Primary) Hypertension; K21 GERD; E78.5 Hyperlipidemia (ICD10 Codes, 2024) (Arcangelo et al., 2021). Discuss how you would manage the patient’s current medication regimen and provide a rationale supported by scholarly reference for your treatment plan. Since the patient already has a diagnosis of hypertension, I would address the fact that his medication is not controlling it. I would interview the patient about whether he is compliant in taking the medication on a regular basis, whether he is having any side effects from the medication, and whether he is having any symptoms of hypertension. I would also ask if he takes his blood pressure reading at home on a regular basis, and if he has ever been told he has white coat hypertension (Arcangelo et al., 2021). I would add chlorthalidone as a daily diuretic. As it relates to the GERD diagnosis, I would ask if he is having any symptoms (frequent heartburn, reflux after meals or at night, night time coughing or hoarse voice). If he is asymptomatic, I would continue the current prescription for famotidine. I would also start the patient on a high intensity statin due to his hyperlipidemia (Arcangelo et al., 2021), and a calculated ASCVD risk of 20.5% (American Heart Association [AHA], 2018). I also want the patient to monitor his blood pressure at home four times per day for two weeks and keep a log of the results. Include your specific prescription(s) for the pa
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