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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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A 5 6,210 Lb,64- Years Old Male Business Executive Had

a 5 6,210 lb,64- years old male business executive had a physical exam prior to his retirement from corporate work. his blood pressure was 180/115 on three separate days. further examination showed normal to low plasma rennin activity, elevated total peripheral resistance, cardiac output of 7.2 L/ minute, x-ray evidence of left ventricular hypertrophy, retinal hemorrhages and mild polyuria.recommended therapy was weight reduction to his ideal level, a low- salt diet( 2g/day sodium), prudent exercise, and reduction in alcohol consumption( 3oz of whiskey/day). This change of lifestyle did little change in his condition. Medication was initiated in the form of an oral diuretic and progressed to a beta-blocker; eventually a vasodilator was included to reduce the blood pressure to 140/90. what is the diagnosis for this individual? what should this individual s ideal body weight be?(assume he is of medium body frame)expalin the sites of action for 3 pharmacologic agents prescribed for this individual: oral diuretic, beta-blocker, and vasodilator.
Sun, 13 Dec 2015
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A 5 6,210 Lb,64- Years Old Male Business Executive Had