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In: Nursing

Age: 45 years gender: male diagnosis: HTN, NSTEMI, PCI Rx Tabnalapril 5 mg od Atenolol 50...

Age: 45 years

gender: male

diagnosis: HTN, NSTEMI, PCI

Rx

Tabnalapril 5 mg od

Atenolol 50 mg bid

Aspirin 75 mg od

Amlodipine 5 mg od

Clopidogrel 75 mg

Atorvastatin 10 mg od

GTN spry every 8 hrs

Note: if GTN spray not available, what you will recommended?

according to this prescription find the mistakes, the interaction, dose , the toxicity level , antidotes , the counselling and what the suitable medication for this patient ?

Solutions

Expert Solution

# The tablet enalapril

* It's used to treatment of hypertension.

* Initial dose 5 to maximally 20 mg depending on the degree of hypertension

* this tablets are given once a day

# atenolol

* it's used with or without other medications to treat high bp

* it lowering high bp

* 50 mg po once daily

# aspirin

* it reduce pain, fever or inflammation

* it give shortly after a heart attack to decrease the risk of death

* non enteric -coated chewable aspirin in a dose of at least 162 to325 mg.

* chewable aspirin is preferred as their promotes rapid absorption in the blood stream

# amlodipine

* its work by relaxing blood vessels so blood can move easily. Also use to prevent chest pain

# clopidogrel

* it's used alone with aspirin to prevent serious or life threatening problems with the heart and blood vessels

# GTN spray

* it's used to treat angina or chest pain

*1or 2 spray uder your tongue if you're still in pain after 5 minutes you can have a 2nd dose if you're still in pain after 5 minutes you can take 3rd dose its a final dose

* GTN is the only medicine available for fast relief of angina.  

# other medications for gtn

* long acting nitrates such as isosorbide moninitrate

* beta blockers such as atenolol

* calcium channel blockers such as verapamil or diltiazem

* ranolazine

Nightingale answered 2 years ago
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