A 69 year old male presents to your office for a follow-up v…
A 69 year old male presents to your office for a follow-up visit. He has a history of Heart Failure. He complains of fatigue, difficulty breathing and cannot fit in his shoes. His current medications are: HCTZ 25 mg, Lisinopril 20mg. On exam, his Temp 98.4, BP 146/76, HR 72, RR 22, O2 100%. Significant exam findings are: Cardiac: S3 gallop auscultated, Lungs: Crackles in bases, and 2 + pitting edema. Which of the following medication changes would you consider appropriate for this patient?