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Review Question - QID 213392

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QID 213392 (Type "213392" in App Search)
A 33-year-old woman presents to the emergency department after she found out she had a blood pressure of 165/100 mmHg at a local pharmacy. The patient is not followed by a primary care physician and is not currently taking any medications. She has no other complaints at this time. A bedside ultrasound with Doppler of the abdomen is within normal limits. Laboratory values are ordered as seen below.

Serum:
Na+: 139 mEq/L
Cl-: 100 mEq/L
HCO3-: 33 mEq/L
BUN: 20 mg/dL
Glucose: 99 mg/dL
Creatinine: 1.1 mg/dL
Ca2+: 10.2 mg/dL

The patient is given hydrochlorothiazide and sent home. An ECG performed at a subsequent follow up appointment is seen in Figure A. Which of the following is the best long term management for this patient?
  • A
  • A