Wednesday, November 20, 2019
Congestive Heart Failure Case Study Example | Topics and Well Written Essays - 1750 words
Congestive Heart Failure - Case Study Example The patient history demonstrates that he smokes 1.5 packs every day. The patient has been smoking for 35 years. The patientââ¬â¢s smoking is one of the risk factors which predisposed him to his heart condition. Moreover, the patient is an occasional drinker which predisposed him to his heart problem. In addition, lack of proper exercise and failure to adhere to a healthy diet. Psychological stress would also be among the risk factors predisposing the patient to his heart condition. The patient is currently on ECASA, Isosorbide dinitrate, Metoprolol, Nitroglycerin, and Glyburide. The current treatment is aimed at relieving of symptoms of the patientââ¬â¢s heart condition, prevention of worsening of the condition. The current treatment is also aimed at treating the condition of the patient. The drug indications for the patient include ECASA which contains aspirin as an active ingredient. This drug is effective and appropriate for the relief of pain related to heart conditions. Mo reover, ECASA is effective in the prevention of possible inflammation to the heart which would worsen the condition of the patient. The indication for isosorbide dinitrate is appropriate for the management of the patientââ¬â¢s condition because this drug is effective in the prevention of chest pain related to heart conditions especially angina. Nonetheless, isosorbide dinitrate has adverse effects such as lightheadedness, flushing, and headache which must be taken into consideration in the management of the condition.à à ... Metoprolol acts through blockage of beta-adrenergic receptors of heart muscles. This illustrates that metoprolol is effective in preventing the complication of the patientââ¬â¢s condition into heart failure as a result of adrenergic stimulation. It is however important to note that drug interaction of metoprolol with digoxin and calcium channel blockers would result in excessive reduction of blood pressure. Therefore counter indications must be provided during the prescription of metoprolol for the patientââ¬â¢s condition. Nitroglycerin is an appropriate vasodilator which is indicated for the treatment of the patientââ¬â¢s congestive heart failure. Glyburide which acts to lower the glucose levels in blood is an appropriate indication for the patientââ¬â¢s heart condition. This is because glyburide acts as an adjunct to exercise and diet. Since the patient is short of breath, exercising would not be viable and hence the appropriateness of glyburide as one of the medication s for the management of his heart problem. The dosages of these medications as provided in the indication are appropriate for the adult patient. Nonetheless the condition of the patient would influence possible adjustments to the treatment. In order to ensure that the patient adheres to the medication, the health care provider must ensure compliance by encouraging the patient to take the drugs. This would be achieved by explaining the importance of adhering to the dosages and the possible side effects that are related to the drug. When the patient is presented with the possible side effects, he would be enabled to selective alternative drugs for the management of the
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