Case Study: Beatrice has been seen by her physician, and he has diagnosed her with CHF....

Case Study:

Beatrice has been seen by her physician, and he has diagnosed her with CHF. The doctor calls your pharmacy and asks if the pharmacist would recommend a medication that would decrease preload and afterload and that would not cause angioedema.

What class of medications should be recommended?

What adverse effects can be seen with these medications?

Solutions

Expert Solution

Answer :

a. CHF is Congestive heart failure is a chroni progressive condition that affects the pumbing power of heart muscles.While often refferd to simply as " heart failure ", CHF specially reffers to the stage in which fluid builds up around the heart and it to pump inefficiently. CHF develpos when ventricles can't pump enough blood volume to the body. . Eventually blood and other fluids can back up inside lungs, abdomen, liver, lower body.

Angioedema is a well-known side effect of treatment with an ACE( Angiotensin converting enzyme) inhibitors which is used to treat CHF, but it repressents one of the more common causes of drug related angioedema. ACE relax blood vessels and lower blood pressure.This improves blood flow, so the heart is able to pump more blood to the rest of body without working harder.

The drug decreases preload and afterload is Milrinone, which increase cardiac output also.Milrinone is a positive inotropic agent and vasodialator. Milrinone is the phospho diesterase inhibitor drug class, which is an enzyme that hydrolyzes the second messenger cyclic adenosine monophosphate and guanosine monophosphate terminating their effects in various tissues.

b. Beta blockers also known as beta-adrenergic blocking agents, are a class of drugs that works by blocking the neurotransmitters norepinephrine and epinephrine from binding to receptors. Medications such as :

acebutulol
Atenolol
Betaxolol
Bisoprolol.. ect

Diuretics such as :

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

Melissa is a 6-year-old girl who has been newly diagnosed with type 1 diabetes. Her physician...

Melissa is a 6-year-old girl who has been newly diagnosed with type 1 diabetes. Her physician has ordered a treatment regimen that includes blood glucose monitoring and regular insulin injections four times a day. Melissa and her parents have presented to the medical clinic for follow-up and teaching regarding Melissa’s condition and care needs. 1. Discuss the impact of Melissa’s diet on her diabetes management. What additional areas should be included in teaching Melissa’s parents about managing her diabetes? 2.Melissa’s...

Case Study: Ms. Tuckerno has been diagnosed with multiple sclerosis (MS). The patient receives care at...

Case Study: Ms. Tuckerno has been diagnosed with multiple sclerosis (MS). The patient receives care at an internal medicine clinic. Her internist is not in the office today and she is being treated by the nurse practitioner. The patient is on two medications for her MS, three different blood pressure medications, one medication for thyroid disease, one diabetic pill daily, insulin injections twice a day, she uses medical cannabis, and uses eye drops for glaucoma. Upon assessing the patient, the...

Case Study: Ms. Tuckerno has been diagnosed with multiple sclerosis (MS). The patient receives care at...

Jackie, a 44-year-old female, has had HIV for 12 years. Her physician has recently diagnosed her...

Jackie, a 44-year-old female, has had HIV for 12 years. Her physician has recently diagnosed her with AIDS due to a decline in her CD4+ T cells over the past five years, an elevated viral load, and recurrent bacterial pneumonia. She has ongoing lipodystrophy; she lost approximately 30 pounds in the past year and has had diarrhea for the past six weeks. Her roommate reports that Jackie’s appetite has been minimal lately and he attributes this to a thrush infection...

Consider this case: Beatrice owns an art supply store called "Betty's Art Store", and has been...

Consider this case: Beatrice owns an art supply store called "Betty's Art Store", and has been in the business for over ten years. She is located in downtown Windsor and has many clients including local artists and university/college art students. She sells just about any item a visual artist can imagine, from canvas to coloured paint, charcoal pen, rulers, etc. Betty has a lot of stock and can handle special orders direct from her suppliers should a client needs any...

Paulo's physician has diagnosed him with a case of influenza (the flu). Anthropologically, which term best...

Paulo's physician has diagnosed him with a case of influenza (the flu). Anthropologically, which term best describes Paulo's condition? a.) an illness b.) a malady c.) a placebo d.) a disease

Case Study A 40-year-old female is seen in the dermatologist's office, upon the recommendation of her...

Case Study A 40-year-old female is seen in the dermatologist's office, upon the recommendation of her internist, for a workup for suspected SLE. Her presenting symptoms include erythema rash across her cheeks and nose, photosentivity resulting in raised rash in sun-exposed areas, patches of alopecia, and pain and stiffness in her joints. The dermatologists examines the patient and orders exfoliative cystology and fungal scrapings to rule out other sources of the rash. Her internist had already placed the patient an...

Mr. Jones, a newly diagnosed diabetic, has been a loyal patient of the ABC Physician Practice...

Mr. Jones, a newly diagnosed diabetic, has been a loyal patient of the ABC Physician Practice for many years. His blood sugar levels are very unstable so he is in the office today. His wife speaks with you privately to tell you he is not following his diet and refuses to exercise daily. She is concerned, but doesn’t want you to tell Dr. Foster because she knows her husband will be very angry with her. How would you handle the...

An obese 58-year-old woman is seen by her physician. Her chief complaint is perineal itching and...

An obese 58-year-old woman is seen by her physician. Her chief complaint is perineal itching and soreness. When giving her health history, she also complains of being thirsty “all the time: and to be urinating more frequently. On pelvic examination, a white discharge is noted. A urine specimen is collected for a routine urinalysis. Urine Physical Examination Color: Yellow Clarity: Cloudy Odor: None Urine Chemical Examination Specific gravity: 1.015 pH: ...

A 60-year-old female has been recently diagnosed with a right-sided stroke. She is being seen in...

A 60-year-old female has been recently diagnosed with a right-sided stroke. She is being seen in the stroke clinic for a follow-up appointment. a. What teaching components would be important to alert this patient to, related to her medical diagnosis? b. What areas of health promotion should be emphasized with this patient?

Subjects