Mr. Russell is a 73-year-old Caucasian male who presents to your clinic with complaints palpitations and intermittent light-headedness for approximately 1 month. He is currently being treated for hypertension and is taking HCTZ 25mg daily. He also is complaining of heartburn and belching after eating a large meal. Vital Signs: B/P 159/95 (right arm), B/P 162/96 (left arm), HR 88, Resp. 22, Weight 99 kilograms (previous weight at last appointment 2 months ago was 95kgPhysical Exam: Constitutional: Alert & oriented, well-developed. Neck: No carotid bruit or JVD. Heart: Regular rate without murmur or gallop. Lungs: Slight crackles in RLL but otherwise clear to auscultation. Abdomen: Soft, non-tender with + BS. Legs: Left leg with moderate 3+ edema on RLE and leg 2+ edema on LLE. Labs: NA 143mEq/L, CL 99 mmol/L BUN 18mg/dL, Hbg 15, TC 234 mg/dL, LDL 137 mg/dL, HDL 35 mg/dL, triglycerides 241mg/dL, What are your treatment goals for Mr. Russell today?What is your pharmacologic plan and rationale? (cite with appropriate clinical practice guidelines or scholarly, peer-reviewed journals)What are five key patient education points based on your plan?How would your plan change if your patient is African American?
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Mrs. kirby, 58, is a moderately active woman. she works in the garden almost daily, occasionally walks with her friends, and babysits her three very active young grandchildren every weekend. she eats a fairly standard diet every day: she has cereal with milk and coffee for breakfast, some kind of salad for lunch, and a piece of meat or fish with a healthy of veggies for dinner. she usually skips desserts or has just a couple of strawberries. when asked to look at the food labels and calculate her intake of carbohydrates, fats, and proteins in grams over the entire day, on an average day, she came up with the following numbers: carbohydrates: 243 g fats: 41 g proteins: 63 g calculate what percentage of mrs. kirby's total energy intake came from carbohydrates.
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Mr. Russell is a 73-year-old Caucasian male who presents to your clinic with complaints palpitations...
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