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This week we are looking at the CV system and pharmacology

This week you may again choose your own case from this list:

Case Study 1:

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

Case Study 2:

Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:

Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun

Aspirin 81 mg daily

Metformin 1000 mg po bid

Glyburide 10 mg bid

Atenolol 100 mg po daily

Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

Case Study 3:

Patient CB has a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following:

Glipizide 10 mg po daily

HCTZ 25 mg daily

Atenolol 25 mg po daily

Hydralazine 25 mg qid

Simvastatin 80 mg daily

Verapamil 180 mg CD daily Reference: ACC/ACHA

Guideline on the Management of Blood Cholesterol

http://www.onlinejacc.org/content/accj/73/24/e285.full.pdf?_ga=2.211926493.853299748.1583090983-768093126.1583090983

Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

http://www.onlinejacc.org/content/accj/71/19/e127.full.pdf?_ga=2.119020992.853299748.1583090983-768093126.1583090983

Guideline on the Primary Prevention of Cardiovascular Disease

http://www.onlinejacc.org/content/accj/74/10/e177.full.pdf?_ga=2.120069185.853299748.1583090983-768093126.1583090983

Guideline for the Management of Patients With Atrial Fibrillation

http://www.onlinejacc.org/content/accj/74/1/104.full.pdf?_ga=2.181500014.853299748.1583090983-768093126.1583090983

Guideline for the Management of Heart Failure

http://www.onlinejacc.org/content/accj/70/6/776.full.pdf?_ga=2.182392302.853299748.1583090983-768093126.1583090983

Strategies to Enhance Application of Clinical Practice Guidelines in Patients With Cardiovascular Disease and Comorbid Conditions

http://www.onlinejacc.org/content/accj/64/17/1851.full.pdf?_ga=2.174568939.853299748.1583090983-768093126.1583090983

Effectiveness-Based Guidelines for the Prevention of Cardiovascular Disease in Women

http://www.onlinejacc.org/content/accj/57/12/1404.full.pdf?_ga=2.214857950.853299748.1583090983-768093126.1583090983

Guideline for the Evaluation and Management of Patients With Syncope

http://www.onlinejacc.org/content/accj/70/5/e39.full.pdf?_ga=2.186086496.853299748.1583090983-768093126.1583090983