Mrs. Lyons is a 57-year-old African American female who recently developed headaches and had an elevated blood pressure reading at her work health fair. Her blood pressure was taken at the health fair, and the reading was 168/99. She has returned to the drugstore three times to take her blood pressure. The readings have been: 145/90, 150/89, 140/88. At the health fair, she was told her BMI is elevated. Her cholesterol levels were also done at the health fair, and the results were: total cholesterol level of 250, LDL 138, HDL 48, and Triglycerides 170. She has not been to see a primary care provider in over 5 years. At her last office visit, which was 5 years ago, her blood pressure was (135/95). Her LDL and triglycerides were also elevated at that time. The patient was supposed to monitor her blood pressure at home and trial diet and lifestyle changes. She was supposed to return for a follow-up with her blood pressure log and for a recheck of her labs. She, unfortunately, did not do th

The American College of Cardiology (ACC) recommends reduction in weight, the Dietary Approaches to Stop Hypertension (DASH) diet, sodium restriction, potassium addition, regular physical activity, and reducing alcohol intake (Whelton et al., 2018). Ultimately, if a person were to incorporate all these lifestyle modifications into their day to day life, they may be able to reduce their blood pressure to normal range and eliminate the need for pharmacologic addition. In addition to nonpharmacological recommendations, the first-line treatment recommendations for hypertension include starting a single-pill combination medication that includes a thiazide and calcium channel-blocker (CCB) or angiotensin II receptor blocker (ARB) with a CCB (Unger et al., 2020)

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