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A 50yo African American woman presents to clinic feeling tired for the last 3 months. She also has trouble breathing when walking 2-3 blocks. She sleeps on 2 pillows at night to help with her breathing. PMH: HTN, arthritis. Physical exam: edema present in both feet. Medications: HCTZ 12.5mg daily, verapamil SA 120 mg daily, ibuprofen 200 mg BID for arthritis in knee. Vitals: height 5’2″, 63kg, BP 134/84, HR 78, EF 30% per echocardiogram. Her labs are normal including a creatinine of 1.1. She denies chest pain or palpitations. Her EKG reveals normal sinus rhythm with no evidence of ischemia or recent acute coronary syndrome.

1. How would you classify her heart failure?
2. What medication adjustmentswhether additions, discontinuations, or modificationswould you recommend to help improve her current symptoms and optimize her long-term clinical outcomes?
3. What monitoring parameters do you recommend?
4. What non-pharmacological recommendations do you have?

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A 79-year-old African American woman with a history of hypertension, transient ischemic attack (TIA) and gout. Her medications include febuxostat 80 mg/day, felodipine 10 mg/day, benazepril 40 mg/day, Atorvastatin 40mg and enteric coated aspirin 81 mg/day. Her vital signs include BP 145/85 mmHg and HR 82 beats/minute.

What is the best approach to improve her BP control, if anything? Please provide your answer supporting it with evidence based medicine.

responses should be a minimum of 250 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (one may be the textbook)

Pharmacotherapy Principles & Practice, 7^th Edition

Title: Pharmacotherapy Principles & Practice (7th Edition)

Author(s): Chisholm-Burns, MA., Malone, PM, Kolesar, JM., et al.

ISBN: 978-1-265-46287-1

Publisher: Mcgraw-Hill Education

Publication Date: 10/08/2025

Description: Available on AccessPharmacy or Print

Requirements: Minimum 250 Words Times New Roman Size 12 Font Double-Spaced APA Format Excluding the Title and Reference Pages | .doc file

Please provide an answer that is 100% original and do not copy the answer to this question from any other website since I am already well aware of this. I will be sure to check this.

Please be sure that the answer comes up with way less than 18% on Studypool’s internal plagiarism checker since anything above this is not acceptable according to Studypool’s standards. I will not accept answers that are above this standard.

No AI or Chatbot! I will be sure to check this.

Please be sure to carefully follow the instructions.

No plagiarism & No Course Hero & No Chegg. The assignment will be checked for originality via the Turnitin plagiarism tool.

Please be sure to include in-text citations where necessary.

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