Hypertension Case Study

Hypertension Case Study

KG is a 50-year-old white male who presents for follow-up of his hypertension. KG is not a diabetic and has normal renal function. He is adherent with a low sodium diet, exercises 150 minutes weekly, and is taking his Chlorthalidone 25mg PO daily.  He was previously on Hydrochlorothiazide. His home blood pressure logs and the clinic reading reveal blood pressures in the range 150-160/90-100.

Hypertension Case Study

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This was confirmed in your office with a reading of 152/93. The rest of his vitals including heart rate are normal, as his examination.  You note that his potassium is 4.3 mmol/L.  KG states he did have to take potassium supplements in the past but hasn’t for a while. He has no known drug allergies. His only other medication is cetirizine 10mg PO daily for allergic rhinitis. MLA.

Hypertension Case Study

Why would a clinician have changed KG to Chlorthalidone from Hydrochlorothiazide? What blood pressure goal do you give to KG? What specific medication changes do you recommend to KG’s regimen to reach determined goal? Any counseling points and monitoring parameters for KG’s plan of care? KG is a 50-year-old white male who presents for follow-up of his hypertension. KG is not a diabetic and has normal renal function. He is adherent with a low sodium diet, exercises 150 minutes weekly, and is taking his Chlorthalidone 25mg PO daily.

Hypertension Case Study

He was previously on Hydrochlorothiazide. His home blood pressure logs and the clinic reading reveal blood pressures in the range 150-160/90-100. This was confirmed in your office with a reading of 152/93. The rest of his vitals including heart rate are normal, as his examination.  You note that his potassium is 4.3 mmol/L.  KG states he did have to take potassium supplements in the past but hasn’t for a while. He has no known drug allergies. His only other medication is cetirizine 10mg PO daily for allergic rhinitis. Why would a clinician have changed KG to Chlorthalidone from Hydrochlorothiazide? What blood pressure goal do you give to KG? What specific medication changes do you recommend to KG’s regimen to reach determined goal? Any counseling points and monitoring parameters for KG’s plan of care?

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