Week 3 Response 2 NURS 6521 Pharm.docx - RESPONSE 2 Theresa Pecsek Good post this week If we knew more information about this patient specifically if

Week 3 Response 2 NURS 6521 Pharm.docx - RESPONSE 2 Theresa...

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RESPONSE # 2 Theresa Pecsek, Good post this week! If we knew more information about this patient, specifically if the patient is African American, it may change some of the treatment regimen for the patient (Arcangelo, Peterson, Wilbur, & Reinhold, 2017). Per the JNC 8 treatment guidelines, patient of African descent, without chronic kidney disease, should be placed on calcium channel blockers and thiazide diuretics when initiating therapy for hypertension (Page, 2014). For the patient is this scenario, I would recommend discontinuing the atenolol. Keeping the patient on hydralazine 10 mg qid, which may need a dosage increase, and adding a calcium channel blocker. I would add amlodipine 5 mg daily to the patient’s treatment regimen. Amlodipine is a calcium channel blocker, which are potent vasodilators used in treating hypertension (Arcangelo et al., 2017).
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  • Summer '15
  • Arcangelo, Calcium channel blocker, Amlodipine, mg QID

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