Selected Patient Factor African Americans have higher rates of DM and

Selected patient factor african americans have higher

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Selected Patient Factor African Americans have higher rates of DM and hypertension which in turn lead to greater rates of heart disease (Fuchs, 2011). The etiology of this discrepancy has not been
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specifically outlined instead a variety of theories may contribute to the disparity. Theories range from genetic variants to cultural differences in the type of food consumed (Fauch, 2011). Treatment “Calcium blockers are with diuretics among the most effective classes of drugs to reduce blood pressure in patients of African ancestry” (Brewster & Seedat, 2013). This means that atenolol 25 mg po daily may be changed as it is a beta-blocker, verapamil is a CCB, and hydralizine a vasodilator would be a good part of treat for this patient as well. HCTZ is a diuretic and it works well in treating hypertension for African Americans as mentioned before. That leaves simvastatin which was prescribed for the patient’s hyperlipidemia (Arcangelo, Peterson, 2012). One other factor to be discussed is the patient’s strokes. Stroke is higher in patient populations with DM and HTN, therefore this patient as indicated needs therapy for stroke prevention. Studies suggest aspirin therapy and or warfarin. Patient education which is the cornerstone of
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