a 40-year-old black man with asthma and hypertension has been following a low-fat, low-sodium diet and walking three times a week for the past 6 months. his blood pressure readings from the past two visits were 160/95 and 170/100 mmhg. on this visit, it is 160/90. what is the most appropriate action for the nurses practitioner to follow at this visit?

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24-11-2022
Medicine

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a 40-year-old black man with asthma and hypertension has been following a low-fat, low-sodium diet and walking three times a week for the past 6 months. his blood pressure readings from the past two visits were 160/95 and 170/100 mmhg. on this visit, it is 160/90. what is the most appropriate action for the nurses practitioner to follow at this visit?

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varshamittal029 varshamittal029 · Answer 1 · 2022-11-29T08:04:17+01:00

Start a daily prescription for 12.5 mg of hydrochlorothiazide orally. A thiazide-type diuretic or calcium channel blocker (CCB), taken alone or in combination, is the drug therapy for Black adult hypertension patients (without chronic kidney disease or diabetes) that the Eighth Joint National Committee (JNC 8) recommends.

The JNC 8 suggests thiazide-type diuretics, ACE inhibitors, angiotensin receptor blockers (ARBs), or CCBs for White people, either alone or in combination. ARBs and ACE inhibitors should not be combined.

Angioedema is a severe side effect of these two pharmacological types, although being unusual. Patients who have a chronic lung condition, such as asthma or chronic obstructive pulmonary disease (COPD), should not take beta-blockers because they may cause bronchoconstriction.

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