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Follow-up The patient should be re-evaluated 1 month after initiating treatment. If at that time blood pressure (BP) is not under control additional medications and/ or therapy adherence should be assessed, if BP goal is met then the next follow-up should be in 3-6 months (ACC, 2017). Labs that need to be monitored for thiazide diuretics are electrolytes and renal function. This is due to potential hypokalemia, hyponaturemia, and hypochloremia. Kidney function should be monitored periodically because this medication is ineffective when GFR is low. The patient should be informed to seek immediate medical attention if experiencing symptoms of myocardial infraction such as chest/ left arm pain, diaphoresis, nausea/vomiting, arrhythmia, or weakness; experiencing stroke-like symptoms such as confusion, numbness, weakness difficulty speaking or understanding speech; any rapid weight gain, edema, or dyspnea; sudden severe headaches; vision problems; for BP reading equal to or greater than 180/110. References: American College of Cardiology. (2017). 2017 guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. hutps://www.acc.org/-/media/Non-Clinical /Files-PDFs-Excel-MS-Word- etc/Guidelines/2017/Guidelines Made Simple 2017 HBP.pdf American College of Cardiology. (2021). Smoking associated with lower rates of blood pressure control, even for patients taking medication. https://www.acc.org/About-ACC/Press-Releases/2021,/11/01/13/33/Smoking-Associated-with-Lower-Rates-of-Blood- Pressure-Control-Even-for-Patients-Taking-Medication Fraser-Bell, S., Symes, R., & Vaze, A. (2017). Hypernensive eye disease: A review. Clin Exp Ophthalmol, 45(1), 45-53. https://doi.org/10.1111/ce0.12905 Kapur, V. K., Auckley, D. H., Chowdhuri, S., Kuhlmann D. C., Mehra, R., Rama, K., & Hamod, C. G. (2017). Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: An american academy of sleep medicine clinical practice guideline. J Clin Sleep Med, 13(3), 479-504. hutps://doi.org/10.5664/jcsm. 6506 McGraw Hill Medical. (2022a). Drug Monographs: Acetaminophen. htps://accessmedicine-mhmedical- com.chamberlainuniversity.idm.oclc.org/drugs. aspx?gbosID= 426435 # monoNumber= 4264358 ionlD= 24318901 2&tab=tab0 McGraw Hill Medical. (2022b). Drug Monographs: Nicotine. https://accessmedicine-mhmedical- com.chamberlainuniversity. idm.oclc.org/drugs. aspx?gbosID= 426809 # monoNumber= 426809§ionlD= 243261060&tab=tab0 Patl, S. P, Ayappa, 1. A, Caples, S. M., Kimoff, R. J., Patel, S. R., & Hanrod, C. G. (2019). Treatment of adult obstructive sleep apnea with positive airway pressure: An american academy of sleep medicine clinical practice guideline. J Clin Sleep Med, 15(2), 335-343. hps://doi.org/10.5664/jcsm. 7640 Rogers. (2020). Understanding the most commonly billed diagnoses in primary care: Hyperntension. The Nurse Practitioner, 45(6), 50-55. hups://doi.org/10.1097/01.NPR.0000666196.20382.57 Tsai, S. Y., Huang, W. H., Chan, H. L., & Hwang, L. C. (2021). The role of smoking cessation programs in lowering blood pressure: A retrospective cohornt study. Tob Induc Dis., 19(82). hups://doi.org/10.18332/1id/142664