J.J., a 55-year-old white male, has come in for his annual physical. He has hypertension and type 2 diabetes mellitus. His blood pressure is controlled with lisinopril 20 mg daily and amlodipine 5 mg daily (BP 132/82 mm Hg). /0x4*
His most recent HbA1c was 7.2% while taking metformin. His father died at age 55 of a myocardial infarction, and his brother, age 57, just underwent angioplasty. J.J. eats fast food at least five times a week because of his work schedule. He weighs 245 lbs. and stands 5-foot-11. His blood pressure is 134/80. His total cholesterol is 237 (LDL, 162; HDL, 35; triglycerides, 200).
Answer the following questions. Include two references, cited in APA style.
Does J.J. fall into any of the statin risk categories? If so, which one?
What drug therapy and dose would you prescribe, and why?
What are the parameters for monitoring the success of the therapy?
List one or two adverse reactions for the drug therapy that you prescribed for J.J. that would cause you to change therapy.
When rechecked, J.J.?s total cholesterol is 174 (LDL, 100; HDL, 38), but he is complaining of muscle pain. How would you manage J.J.?s treatment?
Each question is worth up to two points. Additionally, you will receive up to two points for using correct grammar and spelling and providing references cited in APA style.