NSG 6005 Advanced Pharmacology FL02 Week 5 Discussion 1
For Mr. EBR's current treatment plan, I would add Nitro-glycerine. A common symptom of CAD is chest pain. Nitroglycerin, which is a type of nitrate, dilates blood vessels and allows the heart to pump blood with less effort. These actions help ...
NSG 6005 Advanced Pharmacology FL02
Week 5 Discussion 1
For Mr. EBR's current treatment plan, I would add Nitro-glycerine. A common symptom of CAD is chest pain. Nitroglycerin, which is a type of nitrate, dilates blood vessels and allows the heart to pump blood with less effort. These actions help relieve chest pain.
I would not discontinue any of Mr. EBR's medication. I would continue metformin since it's both effective is CAD and Diabetes. Since Mr. EBR has diabetes, his medications should be thoroughly screened. The prevalence of type 2 diabetes has been increasing rapidly throughout the world during the past decades. Since cardiovascular disease is the major complication of type 2 diabetes and cardiovascular mortality accounts for the majority of diabetic patient deaths, there should be strategies for blood glucose control in type 2 diabetic patients to reduce cardiovascular risk and mortality. Therefore treatment with metformin will substantially reduce major cardiovascular events. Results indicated that a potential benefit of metformin therapy on cardiovascular outcomes in high-risk patients (Woo, 2015).
Stage 3 chronic kidney disease coupled with the other diagnoses that Mr. EBR should be taken into consideration. As an NP, I would want to ensure that these drugs ease the secretion of insulin and are related to increased risk of hypoglycaemia, which is a major issue for CAD patients (Woo, 2015).
Combination therapy of hypertension with separate agents or a fixed-dose combination pill
offers the potential to lower blood pressure more quickly, obtain target blood pressure, and
decrease adverse effects. Antihypertensive agents from different classes may offset adverse reactions from each other, such as a diuretic decreasing edema occurring secondary to treatment with a calcium channel blocker. Most patients with hypertension require more than a single antihypertensive agent, particularly if they have comorbid conditions (Woo, 2015).
It is beneficial to prescribe aspirin therapy in this patient. Since Everyone's blood has a tendency to form clots, the aspirin would be needed to stop the blood clots bleeding that may start, such as from a cut or a stomach ulcer. On the other hand, if clots form too easily, they can plug up an artery, causing a heart attack or the most common kind of stroke. Aspirin works to lower the risk of heart attack and stroke because it reduces the tendency of blood to clot (Woo, 2015).
Reference
Woo, T. M. (08/2015). Pharmacotherapeutics for Advanced Practice Nurse Prescribers with Davis Plus Resources, 4th Edition. [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780803676374/
Discussion 2
The three classes of drugs affecting the Hematopoietic System are: Heparin, Warfarin, and
Rivaroxaban.
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