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23rd June 2023
A 24-year-old female who is otherwise fit and well is seen in ambulatory care for investigation of a DVT.
A 24-year-old female who is otherwise fit and well is seen in ambulatory care for investigation of a DVT. Her blood pressure was noted to be raised at 176/98mmHg. She mentions that high blood pressure runs in her family.
A venous blood gas shows:
| Result | Reference range | |
|---|---|---|
| pH | 7.48 | (7.35-7.45) |
| pCO2 | 4.9 kPa | (4.7-6 kPa) |
| Bicarbonate | 31 mmol/L | (22-29 mmol/L) |
| Sodium | 152 mmol/L | (133-146 mmol/L) |
| Potassium | 2.9 mmol/L | (3.5-5.3 mmol/L) |
She undergoes further investigations as an outpatient, including screening for secondary causes of hypertension. Aldosterone levels come back as low.
Considering the underlying diagnosis, which is the most appropriate medication to start this patient?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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