Medications List including OTC drugs you will order and

Medications list including otc drugs you will order

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Medications: List medications/treatments including OTC drugs you will order and “continue previous meds” if pertinent. Drug Dosage Length of Treatment Rationale/Citation Metoprolol 50mg PO once a day. (morning) 30 days Metoprolol is used to treat hypertension and angina in this case, Mr. Foster presented with high blood pressure and chest pain, by lowering his blood pressure, it will prevent future strokes, heart attacks and even kidneys problems. (Dézsi, C. A., &
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Szentes, V. (2017). The Real Role of β-Blockers in Daily Cardiovascular Therapy. American journal of cardiovascular drugs : drugs, devices, and other interventions , 17 (5), 361–373. doi:10.1007/s40256-017-0221-8) Lisinopril 10 mg PO once a day (morning) 30 days Lisinopril will help to reduce the workload of the heart, as well to control the blood pressure. So by adding an ACE inhibitor his blood pressure will be regulated in a better way because his heart is doing enough work, thereby making Mr. foster’s heart goes up. (Sukalo, A., Deljo, D., Krupalija, A., Zjajo, N., Kos, S., Curic, A., … Medjedovic, S. (2016). Treatment of Hypertension with Combination of Lisinopril/Hydrochlorothiazide. Medical archives (Sarajevo, Bosnia and Herzegovina) , 70 (4), 299–302. doi:10.5455/medarh.2016.70.299- 302) Lasix 40 mg PO once in the morning daily 30 days Mr. foster has fine crackles in the posterior bilateral lower lobes, so LAsix can help to reduce the fluid that is around or is building around the heart and the lungs. Diruetics are used in conditions that lead to fluid overload in the body like cardia failure. As well based in the article diuretics improved exercise tolerance . (Qavi, A. H., Kamal, R., & Schrier, R. W. (2015). Clinical Use of Diuretics in Heart Failure,
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Cirrhosis, and Nephrotic Syndrome. International journal of nephrology , 2015 , 975934. doi:10.1155/2015/975934) Lipitor (Atorvastantin) 20 mg PO once at night 30 days Will keep the same dose as the patient was already taking due to his hyperlipidimia, it is known that by lowering the levels of cholesteron and fats prevent heart disease, angina, strokes and heart attack. (Westman, P. C., & Lipinski, M. J. (2015). The use of statins in patients with heart failure: more questions than answers. Journal of thoracic disease , 7 (10), 1687–1690. doi:10.3978/j.issn.2072- 1439.2015.10.47) Nitrogylcerin 0.4mg sublingual every 5mins X 3 doses. If chest pain is unrelieved call 911 As need it. Nitroglycerin is used to prevent chest pain in patients with coronary artery disease, so when the chest pain occurs is because the heart is not getting eough blood. So nitro help help to increase the blood flow through the coronary arteries of the heart. (Boden, W. E., Padala, S. K., Cabral, K. P., Buschmann, I. R., & Sidhu, M. S. (2015). Role of short- acting nitroglycerin in the management of ischemic heart disease. Drug design, development and therapy , 9 , 4793–4805. doi:10.2147/DDDT.S79116) Referral/Consults: Cardiologist Rationale/Citation Coronary artery disease is a disorder that can be preventable and it can be done by reducing
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Vascular Surgeon the behavioral risks. A cardiologist will be able to manage and prevent futher cardiac issues by following the American College of Cardiology and the American Heart Association guidelines,
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  • Fall '15
  • Brian Foster

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