Exam 4 — High-Stakes Clinical Judgment (Pharmacology)

45M with Severe Asthma, GERD, Osteoarthritis. 0900 Clinic Visit. Vitals: BP 158/96, HR 88, Temp 98.8°F, RR 20, SpO2 96% RA. Labs: K+ 4.1, Cr 0.9, WBC 6.0, AST 22 U/L. Subjective: 1. "I use my rescue inhaler every day." 2. "I'm ready to start my new blood pressure pill." Objective: End-expiratory wheezes bilaterally auscultated.. Medications: Albuterol PRN, Omeprazole, Ibuprofen PRN. Change: New prescription for Metoprolol 50mg PO daily received today. Select the 3 priority actions.