Advanced Practice Registered Nurse

26 year old male who has a BMI OF 52.88, no past Medical significant history. Who present to Clinic with elevated BP of 178/100 when rechecked 138/85. Complains of no symptoms but work stress. He does smoke 1 cigarette a day-borrowing from others, but used to smoke more.

He came into just do a BP Check today and it read 178/100. Rechecked it 155/88. I did not start him on anything yet because I feel weight loss will help him. Told patient to keep food log and check BP x 2 weeks again and return.

The whole thing with him is should I start BP low dose med on him. He’s very young and weight loss can help.

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