Question

Consider the following scenario: At age 63, Ms. Breene lived a sedentary life as a clerk in a small insurance company. She would joke that, since her dog died, her only exercise was walking back and forth to her car. She had talked with friends about joining the local health club, and it was on her to-do list, perhaps when she retired in a couple of years. Shortly before lunch one morning, someone at work found Ms. Breene at her desk in a confused and unresponsive state. A colleague drove her to the emergency room, where elevated cardiac markers and EKG changes showed that Ms. Breene had suffered a myocardial infarction.

The ER doctor prescribed oxygen by mask,

Anticoagulants,

a thrombolytic,

analgesics,

and a bronchodilator.

● Identify the incorrect medication/drug classification/treatment and explain why it is incorrect. ● What drug classification would you use instead? Why? ● Provide an example of a generic medication from each drug classification. How would each of the medications/treatments in the scenario act on the patient's body?

Answer 1

Identify the incorrect medication/drug classification/treatment and explain why it is incorrect.

The order is as follows:

-Antiplatelet

-Antithrombotic agents.

-Glycoprotein IIb/IIIa

-Vasodilators.

-Beta-adrenergic blockers

-Angiotensin-Converting Enzyme Inhibitors

-Angiotensin-Receptor Blockers

-Thrombolytics

-Analgesics

What drug classification would you use instead? Why?

Angiotensin-receptor blockers might be used as a substitute to ACE inhibitors in patients who advance opposing effects, such as an obstinate cough, though early tribunals need to be established. An angiotensin-receptor blocker should be given to patients with STEMI who are intolerant of ACE inhibitors and who have moreover medical or radiologic cyphers of heart letdown or an LVEF of less than 40%.

Provide an example of a generic medication from each drug classification?

The examples are as follows:

-Antiplatelet Eg: Aspirin

-Antithrombotic agents. Eg: Anglomax

-Glycoprotein IIb/IIIa – Abclxlmab

-Vasodilators. – Nitroglycerine.

-Beta-adrenergic blockers - metoprolol

-Angiotensin-Converting Enzyme Inhibitors - captopril

-Angiotensin-Receptor Blockers - avapro

-Thrombolytics - altaplase

-Analgesics – morphine sulphate.