CASE STUDY Hypertension

Danielle is a 32-year-old Caucasian female who you have been treating for hypertension for several months. She does not have any other chronic conditions. She is currently taking lisinopril 10 mg daily and is on oral contraception. She has gained 5 lb since her last visit one month ago. Her blood pressure (BP) in clinic today is 147/85 mm Hg (Learning Objectives 2-4).

1. What education should you provide to Danielle about non pharmacologic interventions?
2. Has she achieved her goal BP? What would be the next step in managing her HTN?
3. How would you monitor the change in therapy?
4. If Danielle decides to stop her oral contraception, would you make any changes to her therapy? If so, what changes would you make? If not, why not?