An 86-year-old male comes to the clinic stating she was diagnosed of Class III heart failure and atrial fibrillation. He said his cholesterol and triglycerides have been elevated since he was in his mid-forties and developed high blood pressure. Within the last 2 months, he started having chest pain when he takes a shower and washes his hair. Sometimes he must stop several times while walking from his front door to the car because “I can’t get my breath and my chest really hurts”. He states he hasn’t been taking any medications for the past 3 months due economic problems. He states “my monthly light bill is very high because I keep my air conditioner running 24/7 so I can breathe better. The patient is unable to remember what medications he was taking and says it is too much trouble to keep a medication list.
1. What might you expect or do regarding pharmacologic management of the atrial fib?
2. What might you expect/do regarding pharmacologic management for the elevated BP?
3. What might you expect/do regarding pharmacologic management for the chest pain?
4. What might you expect/do regarding pharmacologic management for the Class III heart failure?
5. The patient’s labs come in: lipid panel shows elevation of all values. What might you expect/do regarding pharmacologic management of the elevated lipids?
****Please limit your answers to drug classifications, indications, and of course the exceptions. You do not need to include patient education or side effects.
references, 2 peer reviewed references, and of course APA 6th ed format.
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