CL is a 48-year-old African American male with blood pressure readings today of 159/91 and 165/95. He states he is taking Advil Cold & Sinus for a cold x 1 week.
Additional medications include adalimumab 40 mg subcutaneous injection every other week, Wellbutrin XL 300 mg daily and pantoprazole 40 mg daily 30 minutes before breakfast. How would you treat CL? What would you prescribe (include complete medication order)? What is his goal blood pressure per JNC 8?
Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!
Step-by-Step Student Writing Guide (Tutor’s Tone)
Step 1: Identify the Diagnosis Clearly
Determine whether the patient meets criteria for hypertension using guideline thresholds.
Step 2: Look for Contributing Factors
Assess OTC medications, lifestyle factors, and comorbidities that may worsen blood pressure.
Step 3: Apply JNC 8 Correctly
Select first-line therapy based on age, race, and comorbid conditions.
Step 4: Decide What to Stop, Start, or Continue
Explicitly state which medications are discontinued, initiated, or continued, and explain why.
Step 5: Write a Complete Prescription
Include drug name, dose, route, frequency, quantity, refills, and instructions exactly as sent to a pharmacy.
Step 6: State the Goal Blood Pressure
Always include the guideline-based BP goal and cite JNC 8.
Step 7: Support with Evidence
Use Medscape, JNC 8, and peer-reviewed guidelines with in-text APA citations.
Useful Resource Links
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JNC 8 Full Guideline (JAMA)
https://jamanetwork.com/journals/jama/fullarticle/1791497 -
Medscape Hypertension Management
https://reference.medscape.com - American Heart Association BP Guidelines
https://www.heart.org
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