Week 3: Discussion
30 30 unread replies. 32 32 replies.
Mr. Russell is a 73-year-old male who presents to your clinic with complaints heart palpitations and light
headedness on and off for the past 3 months. He has a
...
Week 3: Discussion
30 30 unread replies. 32 32 replies.
Mr. Russell is a 73-year-old male who presents to your clinic with complaints heart palpitations and light
headedness on and off for the past 3 months. He has a history of hypertension and is currently
prescribed HCTZ. He also is complaining of heartburn and belching after a large meal.
Vital Signs: B/P 159/95, Irregular HR 88, Resp. 22, Weight 99 kilograms
Lower extremities with moderate 3+edema noted in left leg, 2 + edema in right leg, ABD + BS, Neuro
AOX3,
Labs: NA 143mEq/L, CL 99 mmol/L BUN 18mg/dL, Hbg 15, TC 234 mg/dL, LDL 137 mg/dL, HDL 35 mg/dL,
triglycerides 241mg/dL,
What are your treatment goals for Mr. Russell today?
What is your pharmacologic plan; please state your rationale for your plan?
What are five key patient education points based on your plan?
How would your plan change if your patient is African American?
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Collapse SubdiscussionPatrick Ryan
Patrick Ryan
Jan 17, 2019 Jan 17 at 8:05am
Class,This week we will focus on Mr. Russell, a 69-year-old man who presents with intermittent palpitations
and lightheadedness. The details of his case are outlined above. Remember to use evidence-based
resources in your responses!
Dr Ryan
Reply Reply to Comment
Collapse SubdiscussionNaira Yon
Naira Yon
Monday Jan 21 at 3:13pm
Professor and classmates,
My treatment goals for Mr. Russell today are to assess his current medications and lifestyle so that I can
make modifications to improve his blood pressure, palpitations, dizziness, heartburn and belching, high
lipid levels and this edema to bilateral lower extremities. After reviewing Mr. Russell’s history, signs and
symptoms, lifestyle and current medications I believe that his hypertension has progressed to congestive
heart failure (CHF). I suspect CHF because of his presenting symptoms of dizziness, bloating, water
retention, rapid heartbeat, and heartburn; these are all signs and symptoms of congestive heart failure
(Woo & Robinson, 2016). To begin I would like to order some additional tests to help confirm my
diagnosis of CHF in Mr. Russell. I would order a baseline proBNP as this is a fine indicator of CHF disease
and its progression as the disease progresses (Woo & Robinson, 2016). I would also like to check
electrolyte levels such as potassium and magnesium as diuretics such as HCTZ can a
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