41. Your patient is a 45 year old female who is in your office for a check up for her blood pressure. She has been taking lisinopril for two months 20 mg daily. Her vitals are as follows BP 110/68, HR 52, RR-16 Temp-97.6. She states she feels great but reports a nagging dry cough. Her lungs are clear and she reports no recent illness or fever. She is not short of breath and she is a non smoker. Which of the following is the best management options?
A. Lower the dose of lisinopril to 10 mg daily
B. Start diovan at the equivalent dose and stop lisinopril
C. Start the patient on metoprolol
D. Continue the lisinopril and start the patient on albuterol MDI. This is from bronchospasm.
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