Angina-Related Chest Discomfort Case Study Essay
1.What risk factors are present and are they modifiable?
Risk factors are age, gender, and ethnicity, which is unknown. None of which are modifiable. (Chisholm-Burns, Schwinghammer, Wells, Malone, Kolesar & DiPiro, 2016, p. 93).
1. What are the goals of therapy?
“To improve quality of life and to alleviate symptoms such as angina.” (Aroesty, n.d.). Patient is to be able to continue with his current lifestyle without the angina.
2. What medication(s) do you recommend to prevent Bill from experiencing angina-related chest discomfort?
ASA 81 mg, orally daily. Antianginal therapy, atenolol 25 mg orally, daily. (Chisholm-Burns, et al., p. 103).
3. What do you recommend to treat acute episodes of stable-angina-related chest discomfort?
Nitroglycerine SL: “0.3 to 0.6 mg every 5 minutes for maximum of 3 tablets in 15 minutes; may also use prophylactically 5 to 10 minutes prior to activities which may provoke an attack.” (Lexicomp, Nitroglycerine, n.d.).
4.
…show more content…
What additional medications can improve outcomes in a patient like Bill who has stable angina?
Plavix 75 mg daily, “prasugrel (Effient) and ticagrelor (Brilinta), can help prevent blood clots from forming by making your blood platelets less likely to stick together.” (Mayo Clinic, n.d.). Moderate intensity statin therapy. Simvastatin 20 mg daily. (PubMed Health, n.d.). What is your drug therapy monitoring
Low Back Pain Case Studies
934 Words | 4 PagesThe medications allow him to do his ADL. The patient also stated the Norco works
Unit 4 Pharmacology Assignment
242 Words | 1 PagesMarsha McMillen Unit 4 Pharmacology Assignment The reasons the nitroglycerin did not work, is because Mr. Smith had consumed four whisky drinks with his dinner. He took the nitro pills one hour ago and then ten minutes before calling 911. He should have taken his pill every 5 minutes, but not to exceed more than 3 pills. When taking Nitroglycerin you should not take it after consuming alcohol, and you should follow the instruction as to how to take them. His ECG was not showing like a myocardial infarction. As the paramedic I would think that the chest pain was caused by indigestion.
Ronald Bates Case Study
1748 Words | 7 PagesAn initial dose of 300-600 mg clopidogrel should to be given along with the aspirin (NSW Health 2012). Nursing consideration: monitor for internal and external bleeding and allergies. Heparin: heparin prevents conversion of fibrinogen to fibrin and prothrombin to thrombin.
Work Related Injury Case Summary
340 Words | 2 PagesDOI: 12/13/2012. This is a case of a 63-year-old male security officer who sustained a work-related injury to the right knee when he missed a step and fell down the stairs. As per Omni, the patient had a right knee meniscus tear. The patient had right knee replacement on 11/19/14.
Delta Counseling: A Case Study
63 Words | 1 PagesPratt reported he received mental health treatment at Delta Counseling in 1988 for depression, anxiety, and grief counseling. Pratt stated his uncle died and it was difficult for him to handle. He advised he has taken Paxil in the past. He stated he is currently taking Losartan, Simvastatin, Meloxicam, Omeprazole, Lasix, and potassium. Pratt advised he has high blood pressure and high cholesterol.
ICP Project: Pain Analysis
230 Words | 1 PagesI understand the fears associated with adding more medication to an already heavily populated age group, but perhaps addressing the pain may assist with removal of other medications. I specialized in dementia for several
Beta Agonist
622 Words | 3 PagesShort acting anticholinergics are not considered relief medications because they normally take longer to work than our beta-agonist medications. Though the lists of short acting anticholinergics are short these medications are great for people with COPD. They have fewer side effects than beta-agonist drugs and they are good bronchodilators. The long acting anticholinergic drug takes about 20 minutes to work and can last up to 24 hours, although it is thought of as a “reliever” it’s long lasting effects would make it an excellent maintenance drug for patients with COPD
Praulent Research Paper
824 Words | 4 PagesThese were almost 19,000 patients who suffered a heart attack or serious chest pain the previous year that they had to be hospitalized. Even if they had maximum statin use, all of the patients had LDL over 70. Praulent was given to half of the patients and to the other half, placebo. It started at a lower dose and increased if the LDL of the patient did not go down below
Congestive Heart Failure Research Paper
689 Words | 3 PagesIf a patient cannot tolerate ACE inhibitors medication, vasodilators are also an option (Macon B.). Beta-Blockers can help reduce the blood pressure and slow down the rhythm of the heart (Macon, B.). Since a heart failure may cause the body to have more fluid than it should, diuretics may be used to reduce the fluid content in the
Diastolic Heart Failure
1517 Words | 7 PagesPharmacologic treatments for diastolic heart failure and systolic heart failure are similar in the fact they both should include an ACEI, an ARB, beta blocker, and a diuretic. The following dosages and instructions are available for both heart failures. For ACEI, the treatment should be initiated at low dosages and slowly titrated upward if the patient tolerates them. Captopril should be taken by mouth on an empty stomach (at least 1 hour before meals) usually two to three times a day starting at 6.25 mg initially then increasing to 50 mg three times a day. If a patient is unable to tolerate an ACEI, an ARB would be beneficial because they do not create the same reaction.
Acutely Ill Adult Case Study
688 Words | 3 Pages2012). An anticholinergic nebulizer, ipratropium was given to mrs.Smith as per the order which helped to reduce dyspnea and cough slightly. Her Early warning score still remains 6. On detailed examination, Ed doctor suspected mrs.Smith may be having heart failure. ECG done on her which shows sinus tachycardia.
Rapid Consequence Intubation (RSI)
644 Words | 3 PagesPretreatment medications in RSI are meant to mitigate effects of intubation and RSI. Atropine is typically used in pediatric patients to decrease the vagal response caused by use of the laryngoscope blade
Perfusion Case Study
1638 Words | 7 PagesE.g. 99mTc-tetrofosmin (Myoview, GE healthcare), 99mTc-sestamibi (Cardiolite, Bristol-Myers Squibb now Lantheus Medical Imaging). Following this, the heart rate is raised to induce myocardial stress, either by exercise or pharmacologically with adenosine, dobutamine or dipyridamole (aminophylline can be used to reverse the effects of
Alzheimer's Disease Informative Speech Outline
1191 Words | 5 PagesConnective/Transition: Alright, with that said, let’s start off with the risk factors. BODY I. Age is likely what comes to a lot of your minds when you think of Alzheimer’s disease, but what else is there? A. Well, according to Mayo Clinic’s page titled Alzheimer’s disease – symptoms and causes last updated December 30, 2017, genetic factors such as your family history, having Down syndrome, or even your gender can create a risk for Alzheimer’s disease.
The Importance Of Therapeutic Drug Monitoring
1223 Words | 5 PagesTherapeutic drug monitoring (TDM) is the clinical practice of measuring specific drugs at timed intervals in order to maintain a relatively constant concentration in a patient's bloodstream, thereby optimizing individual dosage regimens. It is not necessary to use therapeutic drug monitoring for all the of medications, and it is used mainly for monitoring drugs with some narrow therapeutic ranges, drugs with marked variability in pharmacokinetic, medications with target concentrations which are difficult to monitor, and drugs that are known to cause therapeutic and adverse effects. The process of therapeutic drug monitoring is based on the assumption that there is a specific relationship between dose and plasma or blood drug concentration, and between concentration and therapeutic effects. Therapeutic drug
More about Angina-Related Chest Discomfort Case Study Essay
Low Back Pain Case Studies
934 Words | 4 PagesUnit 4 Pharmacology Assignment
242 Words | 1 PagesRonald Bates Case Study
1748 Words | 7 PagesWork Related Injury Case Summary
340 Words | 2 PagesDelta Counseling: A Case Study
63 Words | 1 PagesICP Project: Pain Analysis
230 Words | 1 PagesBeta Agonist
622 Words | 3 PagesPraulent Research Paper
824 Words | 4 PagesCongestive Heart Failure Research Paper
689 Words | 3 PagesDiastolic Heart Failure
1517 Words | 7 PagesAcutely Ill Adult Case Study
688 Words | 3 PagesRapid Consequence Intubation (RSI)
644 Words | 3 PagesPerfusion Case Study
1638 Words | 7 PagesAlzheimer's Disease Informative Speech Outline
1191 Words | 5 PagesThe Importance Of Therapeutic Drug Monitoring
1223 Words | 5 Pages