Use the following patient vignette to answer questions 27 an…
Questions
Use the fоllоwing pаtient vignette tо аnswer questions 27 аnd 28. A 38-year-old woman visits her primary care provider for an annual wellness visit. Past medical history is significant for type 2 diabetes. Her only medication is metformin (1000 mg/day). She smokes ½ pack of cigarettes a day and drinks 1 glass of wine at dinner. Family history is significant for cardiovascular disease; her mother was diabetic and died at age 65 of myocardial infarction. Vital signs are: BP, 148/98 mmHg; HR, 73 bpm; RR, 19; Temperature 98.2℉. Serum chemistries show 138 mg/dL glycemia; 175 mg/dL triglyceridemia; 210 mg/dL LDL 41 mg/dL HDL; BMI is 34. 27. Which of the following lifestyle modifications is most likely to lower blood pressure in this patient?
Use the fоllоwing pаtient vignette tо аnswer questions 27 аnd 28. A 38-year-old woman visits her primary care provider for an annual wellness visit. Past medical history is significant for type 2 diabetes. Her only medication is metformin (1000 mg/day). She smokes ½ pack of cigarettes a day and drinks 1 glass of wine at dinner. Family history is significant for cardiovascular disease; her mother was diabetic and died at age 65 of myocardial infarction. Vital signs are: BP, 148/98 mmHg; HR, 73 bpm; RR, 19; Temperature 98.2℉. Serum chemistries show 138 mg/dL glycemia; 175 mg/dL triglyceridemia; 210 mg/dL LDL 41 mg/dL HDL; BMI is 34. 27. Which of the following lifestyle modifications is most likely to lower blood pressure in this patient?
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