Mr. Russell is a 73-year-old Caucasian male who presents to your clinic with complaintspalpitations and intermittent light-headedness for approximately 1 month. He is currentlybeing treated for hypertension and is taking HCTZ 25mg daily. He also is complaining ofheartburn and belching after eating a large meal.Vital Signs: B/P 159/95 (right arm), B/P 162/96 (left arm), HR 88, Resp. 22, Weight 99kilograms (previous weight at last appointment 2 months ago was 95kgPhysical Exam: Constitutional: Alert & oriented, well-developed. Neck: No carotid bruitor JVD. Heart: Regular rate without murmur or gallop. Lungs: Slight crackles in RLL butotherwise clear to auscultation. Abdomen: Soft, non-tender with + BS. Legs: Left legwith moderate 3+ edema on RLE and leg 2+ edema on LLE.Labs: NA 143mEq/L, CL 99 mmol/L BUN 18mg/dL, Hbg 15, TC 234 mg/dL, LDL 137mg/dL, HDL 35 mg/dL, triglycerides 241mg/dL,1.What are your treatment goals for Mr. Russell today?2.What is your pharmacologic plan and rationale? (cite with appropriate clinicalpractice guidelines or scholarly, peer-reviewed journals)3.What are five key patient education points based on your plan?4.How would your plan change if your patient is African American?The treatment goals for today’s visit with Mr. Russel would be to take a thorough history ofcurrent conditions, the length of time he has been experiencing each, current medications andadherence to current treatment regimen.I would like to address his hypertension, edema,weight gain and light headedness, and heartburn/ belching after meals.
