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John is an 86-year-old with a MI history of 3 years ago His blood pressure has...

John is an 86-year-old with a MI history of 3 years ago His blood pressure has been stable at 135 /80 for the pasted 4 years He is taking the following medications amlodipine 5 mg qd, ibersartan 300 mg qd, hydrochlorothiazide 25 mg qd, atenolol l 5 mg qd orally and is compliant. He comes to the office has the same blood pressure, labs are normal, and EKG shows old infarction. DESIGN A TREATMENT PLAN with rationales What is your plan of action currently?

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Ans) Try the Dietary Approaches to Stop Hypertension (DASH) diet, which emphasizes fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods.

Green leafy: Plenty of potassium, which can help prevent and control high blood pressure.

Eat less saturated fat and trans fat.

Decrease the salt in diet.

- Hypertension is diagnosed by BP monitoring.

- BP Unresponsive to volume management strategies.

- Individualized pharmacological management of BP:

ACEs or ARBs.

Dihydropiridine CCBs

Beta blockers

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