Cardiovascular Case Study

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Cardiovascular Case Study

PJ is a sixty-seven-year-old man with a long history of stable angina. He is treated with nitroglycerin tablets as needed for chest pain. He has mild hypertension, which is well controlled by diet and an angiotensin-converting enzyme (ACE) inhibitor. PJ has noticed that his chest pain is occurring with increasing frequency and less activity is required to initiate the symptoms; however, the pain subsides quickly with rest and one or two nitroglycerin tablets.

PJ’s symptoms are consistent with what diagnosis? What education would you provide to PJ?

One morning, at about 4:00 a.m., PJ is awakened from sleep with chest pain and shortness of breath. The pain is much more severe than his usual anginal pain and radiates to the jaw and the left arm. He is diaphoretic and pale. His wife calls for emergency assistance, and PJ is transported to the local emergency department. Upon admission, the electrocardiogram (ECG) shows significant ST-segment elevation.

According to the ECG findings, what is the differential diagnosis? At the time of admission, a blood sample is taken to determine whether PJ has suffered an MI. Which laboratory findings would indicate MI? Describe the pathophysiological responses occurring in the body during an MI.

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Cardiovascular Case Study

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Please use the scenario below to base your paper on.  It is not the goal to necessarily change ALL medications, however, that might be the case.  In short, I am looking for concrete examples of how you back up your decisions with proper resources and guidelines.

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

  • Atenolol 12.5 mg daily
  • Doxazosin 8 mg daily
  • Hydralazine 10 mg qid
  • Sertraline 25 mg daily
  • Simvastatin 80 mg daily
  • elect one the following factors: genetics, gender, ethnicity, age, or behavior factors.
  • Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
  • Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
  • Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

Write a 2- to 3-page paper that addresses the following:

  • Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
  • Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
  • Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

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