solved HTN Prescription Writing Skills :Sangita Rai, a 55 year old
HTN Prescription Writing Skills :Sangita Rai, a 55 year old female has been just diagnosed by you with hypertension after her 2nd visit to the clinic today with a blood pressure of 166/90. She works as a secretary in a law firm. Doesn’t get much exercise. Often eats on the run, processed & fast foods often. She smokes ½ ppd since age 40. Her Total Cholesterol level is 236, HDL 30, LDL 150. Her fasting glucose level is 80. Her thyroid level is normal. She is taking levothyroxine 50mcg, and Pepcid OTC prn. Her father had a CVA at age 60, mom & MGM have thyroid conditions, sister is obese but otherwise healthy. She is allergic to PCN. You order an antihypertensive for her based on the latest guidelines. Part A: Answer the questions below before writing a prescription:1) What are her cardiac risk factors?2) Calculate her ASCVD risk using a risk calculator.3) Based on the guidelines what would you consider a 1st, 2nd & 3rd line agent. Provide your rationale for selecting the top 3 agents for this patient.4) Would you max out a HTN medication before adding another? If not, why not?5) Do you want to give her refills for this prescription?Part B:Write prescription in attached document N677 Dermatology Prescription and upload in this discussion. What drug, dose, frequency, and duration would you prescribe for her? How many refills would you give her?Part C:Review two different students prescription and submit a response.Does their prescription follow the recommended guidelines?Resources:N677 How to Write Prescriptions.pptxN677 Prescription Writing Skills Directions You can use UpToDate to evaluate consensus from different guidelines such as the latest JNC Guidelines.