You assess a 55-year-old male patient who is a candidate for…

You assess a 55-year-old male patient who is a candidate for bariatric surgery. He is 175 cm, 120 kg and has arterial hypertension for which he takes ramipril. His wife tells you the patient snores during the night. His blood pressure (BP) is 125/75 mm Hg and pulse oximetry is 89% on room air. What is the MOST appropriate management of this patient?

A 59-year-old male presents with complaints of chest tightne…

A 59-year-old male presents with complaints of chest tightness and shortness of breath. He has a medical history of CAD, hypertension, and hyperlipidemia. Family history is positive for CAD, hypertension, hyperlipidemia, and asthma. His vital signs are: heart rate 110, blood pressure 189/106, respiratory rate 28, and SpO2 96%. On exam the AG-ACNP appreciates bilateral expiratory wheezes, but no rubs, gallops, or murmurs. Capillary refill time is less than 3 seconds. Which medication should be avoided until asthma has been ruled out?

A 65-year-old male patient is post-MI. Before the event, the…

A 65-year-old male patient is post-MI. Before the event, the patient had a history of hyperlipidemia but was not on any pharmacotherapy. The patient is started on beta blocker and statin therapy. Upon a chart review, you note the patient is consistently hypertensive and has a left ventricular ejection fraction (LVEF) of 40%. Which of the following medication classes would be most appropriate to add for this patient?