### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, may I answer your health queries right now ?  Please type your query here...Hello.  My father has been suffering from high blood pressure and two weeks ago his pulse was at 125 for a number of days.  This landed him in the hospital for about 10 days. He was diagnosed with atrial fibralation as well as anxiety and chronic fatigue.  Both he and the rest of my family have been taking care of my mother who is has a terminally ill with cancer.  He is on a number of medications now and is taking Lisinipril and cumodin and other meds.  His cumodin level was high this week.  He walked to the store the other day and had to ask for a ride back as he wasnt feeling well.  The hospice nurse took his blood pressure and pulse today: 153/100, pulse 50.  She said that he should get checked out again soon as something does not appear right with his meds.  Any advice you might be able to give would be appreciated.  My father is 79 years old.  Thank you.  Melinda

### output:

Hello, There are two issues in him, first his blood pressure is not under control so his BP medicine needs to be hiked up. Dose of lisinopril can be increased in multiple of 5 up to 40 mg. Blood pressure is not emergency you can get it optimized from your doctor.  Secondly, his pulse rate is low and pulse rate controlling med needs to be decreased. Like he must take some beta blockers like metoprolol or nebivolol, or other medicines like Verapamil or Diltiazem, dose of either med needs to be decreased.  Also, he should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 minutes a day and 5 days a week. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Monitor INR regularly. Hope I have answered your query. Let me know if I can assist you further. 