For each of the scenarios below, answer the questions below using clinical practice guideline where applicable. Explain the problem and explain how you would address the problem. If prescribing a new drug, write out a complete medication order just as you would if you were completing a prescription. Use at least 3 sources for each scenario and cite sources using APA format.

Clinical Case Scenario Analysis Student’s Name Professor’s Name Institutional Affiliations Course Name and Number Due Date Clinical Case Scenario Analysis Sara’s Case A systolic blood pressure (SBP) of 160 mmHg and a diastolic BP (DBP) of 90 mmHg confirm a hypertensive patient in stage two. Since Sarah is 45, a practitioner should aim to reduce her SBP to below 130 mmHg and DPB to 80 mmHg or lower, as Carey et al. (2022) recommended for adults below the age of 65 years. According to Whelton et al. (2018), guidelines for hypertension treatment recommend the use of first-line medications such as diuretics due to their capacity to avert clinical events. The complete dosage for Chlorthalidone for Sara is 12.5 mg/day until they achieve treatment goals (Carey et al., 2022). She can also take ACE inhibitors like Benazepril 10-40 mg/daily. Sara also requires additional education to improve her cardiovascular outcomes, including the need for regular physical activities with a goal of 150 minutes of exposure to moderate exercise, consumption of potassium and sodium, a DASH diet, cessation of tobacco, and avoid alcohol intake (Verma et al., 2021). These approaches will improve her health outcomes significantly. Monty’s Case Objective findings through the laboratory tests reveal elevated blood cholesterol for Monty. According to the American College of Cardiology (2019), guidelines underline intensive lifestyle changes as the primary approach for addressing this issue. Monty should focus on smoking cessation, diet management, and the incorporation of physical activities to control his weight within acceptable limits. American College of Cardiology (2019) also indicates that starting such a patient on statin therapy may be commendable due to elevated LDL levels. Considering that Monty’s profile categorizes him as a moderately risky individual, Grundy et al. (2019) indicate that guidelines require the treatment goals to focus on achieving total cholesterol of 200 mg/dl or below, High-density lipoprotein of more than 40 mg/dl, and low-density lipoproteins below 100 mg/dl. Requiring Monty to undergo subsequent laboratory testing every month to monitor his lipid profile will determine treatment effectiveness. Additional investigations highlight Monty’s risk factors for coronary artery disease (CAD). For instance, his lipid profile, characterized by hyperlipidemia and hypertension due to his current Lisinopril medication, reveals risk factors outlined by Malakar et al. (2019). His smoking behavior also increases CAD vulnerability. Thus, health education should target eradicating these risks. Beatrice’s Case The recurrent asthmatic symptoms of Beatrice despite being on medication highlight poor management. According to the Global Initiative for Asthma (GINA) guidelines, treatment plans for patients with persistent episodes similar to the ones reported by Beatrice should prioritize inhaled corticosteroids (ICS) (Levy et al., 2023). In this context, the healthcare provider could increase Beatrice’s dose and frequency of use. Pothirat et al. (2021) also highlight the need to educate her about appropriate techniques to maximize efficiency and ensure that she complies with regular use. Some medication changes may include doubling Flovent HFA to 88 mcg so that the patient can take two puffs BID and maintain the rest of the medications as they are unless ...