Week 5 Discussion Pharm Coronary artery
\ndisease
\nWeek 5 Discussion Pharm Coronary artery disease
\nFor this questions, please read the following case stud and then
\nrespond to the questions noted below.
\nMr. EBR is a 74-year-old retired Hispanic (the best nursing writing service, a studybay for your papers) gentleman with known
\ncoronary artery disease (CAD), who presents to your clinic with
\nsubsternal chest pain for the past 3 months. It is not positional; it
\nreliably occurs with exertion, approximately one to two times daily,
\nand is relieved with rest, or one or two sublingual nitroglycerin
\n(NTG) tabs. It is similar in quality, but is much less severe, than the
\nchest pain that occurred with his previous inferior myocardial
\ninfarction (MI) 3 years ago. Until the past 3 months, he has felt well.
\nThe chest pain is accompanied by diaphoresis and nausea, but no
\nshortness of breath (SOB) or palpitations. He does not vomit. He
\ndenies orthopnea, paroxysmal nocturnal dyspnea (PND), syncope,
\npresyncope, dizziness, lightheadedness, and symptoms of stroke
\nor transient ischemic attack (TIA). An echocardiogram done after
\nhis MI demonstrated a preserved left ventricular ejection fraction
\n(LVEF). Other medical problems include well-controlled type 2
\ndiabetes mellitus (DM), well-controlled hypertension (HTN), and
\nhyperlipidemia, with low-density lipoprotein (LDL) at goal. He also
\nhas stage 3 chronic kidney disease (CKD) and diabetic neuropathy.
\nHe no longer smokes and does not use alcohol or recreation<\/p>\n","protected":false},"excerpt":{"rendered":"
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