Treatment of Stage I Hypertension with Elevated Cholesterol

Goals in Pharmacotherapy
The goal of treating R.S’s hypertension is to lower it below 130/80mmHg. The goals for managing cholesterol levels are to increase HDL levels and reduce LDL levels. Reducing the triglycerides levels will reduce the risk of atherosclerosis, coronary heart disease, and other related cardiovascular diseases (Hageman et al., 2020). T will also be important to strive to maintain the HbA1C levels between 6.5-7.5% as this will help in the long term prevention of both microvascular and macrovascular complications.
First-Line Treatment. Treatment of Stage I Hypertension with Elevated Cholesterol
R.S will use ACE inhibitors because they are safe for hi in managing hypertension while preserving the left ventricular hypertrophy from progressing into heart failure. HMG-CoA reductase inhibitors (statins) like atorvastatin will help reduce the amount of cholesterol in the blood and prevent atherosclerosis (Hageman et al., 2020).
Monitoring the Success of the Therapy
R.S should have a routine examination by care providers such as physical examination, blood pressure measurement. Urine tests for proteinuria, blood tests, lipid profile, and electrocardiogram are also relevant. Regular blood pressure check and frequent medical checkups to limit the worsening of the condition.
Health Promotion Recommendations for R. S

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R.S should adopt lifestyle modifications for hypertension and high cholesterol management. R.S must engage in aerobic physical exercise. Physical exercise will help him lose weight and reduce BMI from 35.16 to a lower level within or near the normal range of 18.5 to 25.9kg/m2. The physical activity should take 30-45 minutes on most days of the week. Limiting alcohol consumption of ethanol beverages and stopping smoking will stop further lowering of his HDL levels (Hageman et al., 2020). Besides, R.S should reduce the intake of dietary cholesterol and saturated fats to boost the cardiovascular system. He also reduce sodium intake to no more than 2.4g sodium or 6g salt. R.S should maintain an adequate intake of dietary potassium at approximately 90mmol per day, calcium, and magnesium for general health (Volpe et al., 2015).
Impact of Diabetes Mellitus on Treatment Selection
ACE inhibitors will inhibit the renin-angiotensin system’s activation, contributing to the poor prognosis of type 2 diabetes. R.S’s blood glucose seems controlled at 95mg/dL. However, during the subsequent clinic visits, the blood glucose level’s elevation will warrant the prescription of antidiabetic medication.Treatment of Stage I Hypertension with Elevated Cholesterol

References
Hageman, S. M., & Sharma, S. (2020). Low HDL Cholesterol (Hypoalphalipoproteinemia). StatPearls [Internet].
Volpe, M., Battistoni, A., Savoia, C., & Tocci, G. (2015). Understanding and treating hypertension in diabetic populations. Cardiovascular diagnosis and therapy, 5(5), 353. Treatment of Stage I Hypertension with Elevated Cholesterol