Lorraine is a 64-year-old African American female who has been monitoring her bl

Lorraine is a 64-year-old African American female who has been monitoring her blood pressure at home. She brings a log of home readings with the following ranges: 150-222/102-88. Her blood pressure in the office today is 160/92. She has her BP monitor with her and the reading on the monitor is similar to today’s office reading. She states that she has swelling in both ankles at night, but the swelling usually resolves overnight. She wears compression hose at work as she is on her feet for most of her 10-hour shift. She has no comorbid conditions and no known allergies at present. Her mother and sister have hypertension and encouraged Lorraine to seek care. Use the guidelines and relevant literature in your topic Resources to discuss the following:
Based on the American Heart Association criteria, does Lorraine have hypertension? If so, how would you categorize it?
Based on the JNC8, what should be Lorraine’s target blood pressure goal?
Based on the mode of action, how do the following medications decrease blood pressure: hydrochlorothiazide, amlodipine, lisinopril, and losartan.
Based on the JNC8, what would be first-line treatment? Would you use a single agent or a combination of medications (include starting dose and frequency)? Explain your rationale regarding choice of drug(s).
Why is an ACE inhibitor not considered first-line treatment for Lorraine?
In what timeframe are you expecting to see a reduction in blood pressure? In the event the patient is not at goal, what is your next treatment strategy?
What lifestyle recommendations would you counsel Lorraine on?
REF MUST BE WITHIN 5 Years