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NRV508 Week 3 Discussion

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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? Search entries or author Search entries or author Filter replies by unread Reply Reply to Week 3: Discussion 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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