NATS 1540 Chapter Notes - Chapter 1.4: Calcium Channel Blocker, Ramipril, Amlodipine
Document Summary
Drug therapy problems: (listed in order of priority: dorothy is at risk of cardiovascular events secondary to uncontrolled hypertension and requires additional therapy. List interventions to resolve the drug therapy problem (interventions can include initiation or modification of pharmacologic and non-pharmacologic therapy, as well as specific patient instructions or education: call md to discontinue atorvastatin, ramipril, and hydrochlorothazide, and replace with. Justify your recommendations (interventions) considering efficacy, safety, convenience & cost. Evidently, the current medication therapy for dorothy"s hypertension is still not effective. The use of two first-line agents (ramipril and hydrochlorothiazide) has not successfully brought her. Bp down to normal target for a diabetic: <130/80. According to the chep guidelines, if a first-line agent for the treatment of hypertension does not work, then another first-line agent can be added, and it is not uncommon to have a third added on as well. Therefore, i have decided to add on a calcium channel blocker, amlodipine, to her regimen.