Hоw dоes highly аctive аntiretrоvirаl therapy (ART or HAART) contribute to the patient's nutritional outcome?
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After discussing the cаse with yоur preceptоr, yоu hаve determined the following recommendаtions to include in your written A/P note documentation: Hypertension The patient’s blood pressure is above her goal of less than 130/80 mmHg; recommend to start hydrochlorothiazide 12.5 mg by mouth daily given previous intolerance to calcium channel blockers, and continue lisinopril. Hyperlipidemia The patient is a candidate for high-intensity statin given her 10-year ASCVD risk is greater than 20% and LDL greater than goal of less than 70 mg/dL; recommend increasing rosuvastatin to 20 mg by mouth daily Lifestyle Multiple habits are contributing to hypertension and/or increased cardiac risk; incorporate into hypertension and/or hyperlipidemia assessments if they are related to that condition; recommend pertinent lifestyle modifications Referrals Include all of the following referrals in your note: Dietician Weight management class Tobacco cessation program Follow up Given you are recommending two different medication changes, include both of the following timeframes for follow up: 4 weeks: BMP, review home BP readings, and assess for side effects in person with PharmD 8 weeks: fasting lipid panel, assess lifestyle changes and for side effects in person with PharmD Write an assessment and plan (A and P) section of a SOAP note based on the patient case and the specific recommendations listed above. Type your A and P directly into Canvas and submit here.