Assignment task:
A 42-year-old African-American man who just moved into the area comes into the clinic for a new-client visit. He brings his medical records from his previous healthcare provider; the records show a blood pressure of 140/104 mm Hg on two separate occasions. Recent laboratory tests (complete blood count, chemistry profile, urinalysis, and thyroid-stimulating hormone) are normal. A recent electrocardiogram shows normal sinus rhythm with left ventricular hypertrophy. He denies any medical problems and tells you he has never been diagnosed with hypertension. He is not taking any medications, does not smoke, and drinks about two beers a day. He is currently unemployed. His blood pressure today is 150/110 mm Hg. Your next step would be to: Want Online Help?
O a. Begin lisinopril (Zestril) 20 mg once daily O b. Start him on metoprolol (Lopressor), 100 mg twice a day O c. Have him keep a food diary for 1 week, then return for a repeat blood pressure reading O d. Begin drug therapy with hydrochlorothiazide (Hydrodiuril), 25 mg once a day