Patient Case 1: Suzanne is a 38 yo obese (BMI = 34) female recently seen for an MTM visit at your pharmacy through the WPQC program due to her concern after recently being diagnosed with diabetes. At that visit, her blood pressure in the pharmacy was found to be 142/86 mmHg.
Today's visit reveals that she does not See moresmoke, drinks 1 glass of red wine/day, and does not exercise formally. Her diet consists of whatever she can get on the tablet quickly for her family while also working full time and serving on her school's PTO. She is not on any medications for her blood pressure and today it is 155/91 mmHg.
Patient Case 2:
John is a 46 yo patient on Medicaid who presents at your pharmacy for a CMR evaluation through the WPQC program. He is a known smoker that has both HTN and hyperlipidemia and is on the following medications: Pravastatin 10 mg QHS HCTZ 25 mg Qday Atenolol 50 mg QdayMedical Records: Total Chol = 227; LDL = 142; Trig = 261; HDL = 33 K+ = 3.6; SCr = 0.85 Fasting Blood Sugar = 119 mg/dLBP during the CMR is 146/85 mmHg
ACEI or ARB
Calcium channel blockers
Beta blockers
Aldosterone antagonists
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Dietary sodium reduction
Physical activity
Alcohol moderation
DASH eating plan
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≥ 100
≥ 130
≥ 160
≥ 190
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Simvastatin 10 mg or Atorvastatin 10 mg
Atorvastatin 40 mg or Rosuvastatin 20 mg
Pravastatin 80 mg or Simvastatin 5 mg
Simvastatin 40 mg or Atorvastatin 20 mg
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