How to Answer Year Hispanic Male Questions (Complete Guide)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to year hispanic male and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves year hispanic male. A strong answer should include explanation, application, and examples.
Original Question
RL a 59-year-old Hispanic male is at the clinic for his six month follow up examination after his blood pressure has been steadily increasing over the past year. His current blood pressure is 139/87. He has been trying to follow lifestyle modifications, but admits it has been difficult to stay on a lower sodium diet and lose weight. He has hyperlipidemia that is controlled by simvastatin 40mg daily and his blood laboratory results are in the normal range. He is moderately overweight and has a family history of cardiovascular disease. His 10-year CVD risk is 18%. He has no known drug allergies. You decide to start him on pharmacologic antihypertensive therapy. In a 3 minute or less video: Please educate your patient on their likely diagnosis and your treatment plan. If you prescribe any medications, include the dose, directions, how long, and possible side effects. Please select an appropriate hypertension treatment from the Week 5 drug list. • Alpha2 Agonist – Centrally Acting bolded o Clonidine o Methyldopa • Alpha1 Adrenergic Antagonists o Doxazosin o Prazosin o Terazosin • Beta Adrenergic Antagonists (Blockers) o Nonselective: block beta1 and beta2 receptors § Nadolol § Propranolol o Selective: block beta1 receptors (except at high doses will have an eNect on beta2 receptors) § Metoprolol § Atenolol § Nebivolol • Unlike other beta-blocker is also produces endothelium- derived nitric oxide-dependent vasodilation • Combined Alpha and Beta Adrenergic antagonists o Carvedilol o Labetolol Renin-Angiotensin System inhibitors • Angiotensin Converting Enzyme (ACE) inhibitors o Captopril o Enalapril o Benazepril o Lisinopril o Ramipril • Angiotensin receptor blockers (ARBs) o Losartan o Candesartan o Olmesartan o Telmisartan o Valsartan Antiarrhythmics • Cardiac Glycoside o Digoxin • Class INURS 572 2 o IA – Depress phase 0 and prolong the action potential duration § Disopyramide o IB – Depress phase 0 slightly and may shorten the action potential duration § Mexiletine o IC – Depress phase 0. Slowing of conduction § Flecainide § Propafenone • Class II – Depress phase 4 depolarization o Propranolol • Class III – Produce a prolongation of phase 3 (repolarization) o Amiodarone o Dronedarone o Sotalol • Class IV – Depress phase 4 depolarization and lengthen phases 1 and 2 of repolarization o Diltiazem o Verapamil Vasodilators • Drugs acting through nitric oxide o Hydralazine • Potassium channel stimulants o Minoxidil • Calcium Channel Blockers Dihydropyridines o Nifedipine o Amlodipine o Felodipine Others (type 1 CCB) – DDI: should not be prescribed with a beta blocker o Verapamil o Diltiazem Diuretics – DDI: all groups – caution with NSAID use • Thiazide and Related Diuretics o Hydrochlorothiazide o Chlorthalidone o Metolazone • Loop Diuretics o Furosemide o Bumetanide • Potassium-Sparing Diuretics – Avoid use with ACE Inhibitors or ARB o Amiloride o Spironolactone Lastly, discuss the expected course of their diagnosis and any follow up or return precautions/symptoms they should be told. Cite your sources on this posting (UpToDate is a required source for this assignment – Please specifically refer to the article “Hypertension in adults: Initial drug therapy” on UpToDate).
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