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Differentiate between the diagnostic criteria of hypertension and isolated hypertension.

Differentiate between the diagnostic criteria of hypertension and isolated hypertension.

1. Differentiate between the diagnostic criteria of hypertension and isolated hypertension.

2. Joan is a 60-year-old Asian American patient who has been managed on Losartan 50mg PO daily, Amlodipine 10mg PO daily and HCTZ 25mg PO daily for the past 2 years. Although she is compliant with her prescribed antihypertensive and thiazide-diuretic medications, and follows a low-sodium diet, her systolic blood pressure remains in the 170’s, while her diastolic blood pressure averages around 85. Joan was recently diagnosed with Resistant hypertension. Discuss the pharmacological management of a patient, regarding resistant hypertension. (i.e.- What medication needs to be changed (if any)? What medication should to be added and why?)

3. Deena is a 55-year-old, obese African American female who presents with a blood pressure that averages around 160/90. Her primary care provider started her on Lisinopril 5mg PO daily, as a first-line therapy, which has not been effective. Based on Deena’s ethnicity, what class of antihypertensives would be first-line therapy and most effective for the management of hypertension and list the treatment plan that you would prescribe for her.

4. Donald is a 70-year-old patient, with no significant medical history, who has presented to the local clinic on 3 different days for blood pressure checks. His blood pressures were 139/90, 135/92, 140/85. Could Donald be diagnosed with hypertension (rationale)? If so, should he be started on medication at this time (rationale)?

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Differentiate between the diagnostic criteria of hypertension and isolated hypertension

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