Drug Dosage Length of Treatment Rationale/Citation Sublingual nitroglycerin 0.3 mg PRN for acute chest pain not relieved by rest Relieves pain within 3 min. Can be repeated 3 times but instruct to seek medical attention right away if pain not resolved after the 3 rd dose (Brunton, Hilal-Dandan, Knollmann, 2019).. Aspirin 81mg Daily for prevention Appropriate medicine prescription: ASA 75–162 mg daily, moderate statin dosage, BP control and diabetic control, β-blocker therapy, and sublingual NTG (David &Esherick 2019). Lisinopril 5mg daily CCB should be added (Brunton, Hilal-Dandan, Knollmann, 2019). Continue previous meds Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text. Continue previous meds Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text. Referral/Consults: Cardiologist Rationale/Citation To provide further workup and testing Brunton, Hilal-Dandan, Knollmann, 2019). Education: Identify and teach hypertension treatment, advocate a diet low in saturated and trans fats, low sodium, and signs and symptoms of heart failure, and treatment plan. Rationale/Citation Identifying risk factors and treating them to correct excacerbating factors contributing to angina (Jameson et al., 2019). Follow Up: Indicate when patient should return to clinic and provide detailed instructions indicating if the patient should return sooner than scheduled or seek attention elsewhere.
-Return to clinic in 5-7 days for evaluation and follow up. - Seek immediate medical attention if chest pain returns, gets worse, and is associated with radiation, diaphoresis, shortness of breath, nausea/vomiting, or dizziness/faintness. Rationale/Citation Brunton, Hilal-Dandan, Knollmann, 2019). References Include at least one evidence-based peer-reviewed journal article which relates to this case. Use the correct APA 6th edition formatting. David & Esherick. (2019). Current practice guidelines in primary care 2019: Cardiovascular disorders. New York, NY: McGraw-Hill. Retrieved from: . Brunton LL, Hilal-Dandan R, Knollmann BC. (2019). Goodman & Gilman's: The pharmacological basis of therapeutics: Treatment of ischemic heart disease. New York, NY: McGraw-Hill. Retrieved from: . Jameson J, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J. Harrison's manual of medicine: Chronic stable angina. New York, NY: McGraw-Hill. Retrieved from: ? bookid=2738§ionid=227558058.
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