Hpertension Medication Question

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Hpertension Medication Question

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DrVirgo
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01/13/08 - 06:56 AM

A 67 year old woman comes to the physician for her semianual exam. At her last visit she was diagnosed with hypertension after her blood pressure was found to be above 175/95mmHg on three consecutive visits. She has been treated for hypertension for the past 8 months with a beta blocker. She is compliant. Her blood pressure readings at home are logged around 150/85 mmHg. She was originally started on a low dose of beta-blocker. Whihc of the following is the next step in management?

A. Do nothing; her BP is very well controlled
B. Discontinue the beta-blocker
C. Increase the dose of her beta-blocker
D. Add an agent from another class to her therapy
E. Schedule a blood test and renal angiogram to rule out causes of secondary hypertension

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drduck
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01/13/08 - 11:09 AM

C ??
if thsi doenst work add onother agent in low dose..

sec. causes of HT must have been excluded before starting beta blocker.

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tormenta
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01/13/08 - 11:23 AM

D...severe htn 160/110 start rx with two drug threrapy

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tamerbashir
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01/13/08 - 11:31 AM

viket
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01/13/08 - 11:36 AM

D
another class agent

DrVirgo
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01/13/08 - 11:57 AM

I put D as well and got it wrong.

Right answer is C!

She was originally started on a low dose of beta-blocker, and is responding to it, so increase the dose first before adding another drug.

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hero
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01/13/08 - 12:51 PM

good to know, thank you, DrVirgo

DrVirgo
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01/13/08 - 01:06 PM

hero wrote:
good to know, thank you, DrVirgo