Selective serotonin reuptake inhibitor therapy until menopause begins. She has no family history of CHD or breast cancer and has no personal risk factors. Losartan is an angiotensin receptor blocker (ARB) and is not indicated in this case.Ī 50-year-old woman reports severe, frequent hot flashes and vaginal dryness. Increasing the captopril dose is not indicated. The addition of a low-dose thiazide diuretic often allows for efficacy in blood pressure lowering that is comparable with that seen in white patients.

Some African-American patients do not appear to respond as well as whites in terms of blood pressure reduction. Recommend a low-sodium diet in addition to the medication. Increase the captopril dose to 50 mg twice daily.Īdd a thiazide diuretic to this patient’s regimen.Ĭhange the drug to losartan (Cozaar) 50 mg once daily. When performing a physical examination, the primary care nurse practitioner (NP) learns that the patient continues to have blood pressure readings of 135/90 mm Hg. Other drugs may be added later if thiazide diuretic therapy fails.Īn African-American patient is taking captopril (Capoten) 25 mg twice daily. Dietary and lifestyle changes should also be recommended but are not sufficient for patients with stage I hypertension. Because there are no compelling indications for other treatment, a thiazide diuretic should be used initially to treat the hypertension. The primary care NP should order:Īn angiotensin-converting enzyme inhibitor. Creatinine clearance and cholesterol tests are normal. NR 508 advanced pharmacology midterm Exam (Latest Update)Ī patient has three consecutive blood pressure readings of 140/95 mm Hg. NR 508 advanced pharmacology midterm Exam (Latest Update)/ Questions and Answer 100% Verified Document Content and Description Below

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