Question

In: Nursing

Janice is a 64-year-old black female with a history of diabetes and HTN, currently controlled on...

Janice is a 64-year-old black female with a history of diabetes and HTN, currently controlled on metformin 1000mg daily, Lisinopril 20mg daily, and Norvasc 10mg daily. Her most recent labs show cholesterol 360, triglycerides 450, LDL 220, and HDL 60. Her CR is 1.2 and GFR is normal. Her current blood pressure is 150/90.

Do you think Janice’s treatment plan is optimal?

What other information would you like to obtain?

Discuss how will you guide Janice’s treatment plan and provide evidence for your rationale.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

Expert Solution

ABOUT TREATMENT PLAN

The patient is receiving following medications

Lisinopril 20 mg once in a day - it is a angoitensine converting enzyme inhibitor used to treat high blood pressure and heart failure

Norvasc - a calcium channel blocker to treat high blood pressure and coronary artery disease

metformine -is a glycophage used as a first line medication for the treatment of type 2 diabetes

patients current blood pressure is 150 /90 ,the measurment indicates that blood pressure is not maintained well

and her cholestrol level is high normal total cholestrol is less than 170 mg/dl [patient value is 360 ]

triglyceride level should be less than150 mg/dl or high 200 mg/dl [patient value is 450]

LDL should be lees than 100mg [patient value is 220]

serum creatinine normal range is 0.84 to1.21 mg/dl [patient value is 1.2 ]

PATIENTS LABORATORY VALUES SHOWS THAT IT IS NECESSARY FOR HER TO FOLLOW PHARMOCOLOGICAL AS WELL AS NON PHARMOCOLOGIC MEASURES TO MAINTAIN BLOOD PRESSIRE ACCORDING TO INTERNATIONAL SOCIETY OF HYPERTENSION 2020[ISH]

OTHER OPTIONS TO TREAT BLOOD PRESSURE

medical management along with lifestyle changes can go a long way toward controlling high blood pressure .Life style changes include following

Eating a heart-healthy diet with less salt

getting regular physical activity

maintaing a healthy weight

limiting alcohol

It is really important to collect informations about aforementioned lifestyle changes and also about patients sleep pattern

ask the patient about her lifestyle modifications

ask the patient about her sleep pattern

encourage the patient to follow docters order

discuss with docter about medical management of high cholestrol [ such as atorvastine ,simvastatine ]

and tryglycreide .according to guldlines

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