Pt. admitted to hospital for SOB ,chest pain for 10 days,with N,V & sweating,25 !
Question: Pt!. admitted to hospital for SOB ,chest pain for 10 days,with N,V & sweating,25 yrs HT on tenormin!?
pt!. diagnosed as ubnstable angina,he adminstered:
aspirin tab 300mg 1by 1
plavix tab 75 mg 1 by 1
heparin vial 1cc+5cc per24 hr
tridil 5 microgram
metoprolol 25mg(stopped)
valsartan(diovan)tab 80mg 1 by 2
zocor tab 40mg 1 by 1
tinormin tab 50 mg 1 by 1
biscopan
angesid tab SL
in the 2nd day there was addition on the pabove treatment:isordil tab 10 mg twice daily & biscopan was removed
what's yr opinion about the treatment !? & what's the role of clinical pharmacist in this case!?Www@Answer-Health@Com
aspirin tab 300mg 1by 1
plavix tab 75 mg 1 by 1
heparin vial 1cc+5cc per24 hr
tridil 5 microgram
metoprolol 25mg(stopped)
valsartan(diovan)tab 80mg 1 by 2
zocor tab 40mg 1 by 1
tinormin tab 50 mg 1 by 1
biscopan
angesid tab SL
in the 2nd day there was addition on the pabove treatment:isordil tab 10 mg twice daily & biscopan was removed
what's yr opinion about the treatment !? & what's the role of clinical pharmacist in this case!?Www@Answer-Health@Com
Answers:
he was diagnosed with unstable angina ,, though personally i think he is still young ( 25 y/o ) anyway ,,, since the EKG confirmed the diagnoses then let us say so ,,,
you have here aspirin is an anti-platelets and an analgesic but it causes patients to bleed so it should not be given with Heparin (anti coagulant) that was Number 1
Number 2 : why was the Metoprolol stopped !? it should not stopped it is the DOC for angina ,,
he is given though tenormin which is another Beta blocker but still ,, the metoprolol shouldnt be stopped
Zocor is good because it decrease the LDL which will decrease lipid deposition in his arteries
the angina is due to imbalance between demand and supply in the coronary arteries
the beta blockers ( meoprolol and tinormin ) decrease the oxygen demand of the myocardium ( cardiac muscle )
tridil is a vaso dilator so it will increase the oxygenation ,,,
sorry i dont know what is biscopan :SWww@Answer-Health@Com
you have here aspirin is an anti-platelets and an analgesic but it causes patients to bleed so it should not be given with Heparin (anti coagulant) that was Number 1
Number 2 : why was the Metoprolol stopped !? it should not stopped it is the DOC for angina ,,
he is given though tenormin which is another Beta blocker but still ,, the metoprolol shouldnt be stopped
Zocor is good because it decrease the LDL which will decrease lipid deposition in his arteries
the angina is due to imbalance between demand and supply in the coronary arteries
the beta blockers ( meoprolol and tinormin ) decrease the oxygen demand of the myocardium ( cardiac muscle )
tridil is a vaso dilator so it will increase the oxygenation ,,,
sorry i dont know what is biscopan :SWww@Answer-Health@Com
the medications prescribed seem excessive and possibly overlapping in their purposes!. The role of the pharmacist is to make sure there are no contraindications or synergistic effects between the medications!. You should be checking in a good drug book to see if some of the meds shouldn't be prescribed with another one on the list!.Www@Answer-Health@Com