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Jane RiveraClinical note

Plan

Continue lisinopril 10 mg daily.

Check kidney function and potassium in one week.
Review home blood pressure readings in four weeks.
Call for dizziness or low blood pressure readings.

1 recommendation

Transcript

Fictional visit. 1 passage highlighted.

PatientMy sugars have been 150 to 180 in the morning. No low readings. I take metformin 1,000 milligrams twice a day.

PhysicianYour A1c is 7.8, up from 7.1. Your home pressures are in the 140s, and today is 146 over 88. Any dizziness or chest pain?

PatientNo. I take lisinopril 10 milligrams daily and atorvastatin 20 milligrams at night.

PhysicianYour kidney function is stable, and LDL is 92. Continue the metformin and atorvastatin. Your blood pressure is higher than your target. Increase lisinopril to 20 milligrams daily. This will help lower your blood pressure. Check kidney function and potassium in one week. This is to check how your kidneys and potassium respond to the higher dose. Check blood pressure at home and bring the readings in four weeks. We'll repeat A1c, a metabolic panel and lipids in three months. Call us for dizziness or low blood pressure readings.

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