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9:25 Scenario: A 70 year-old man presents to the clinic for the first time with complaints that he is experiencing increased difficulty breathing over the past few days. He has just moved to this city to be nearer his son and family and does not have his medical records. He indicates that he has a history of COPD, CAD, and HTN. He empties a bag containing his current medications on the table: propranolol (Inderal) 60 mg BID nitroglycerin transdermal patches (with instructions to change 24h) nitroglycerine tablets labeled prn for chest pain: 1 sublingual every 5 minutes times 3 (call 911 if not effective) ASA, 81 mg every AM ipratropium bromide (Atrovent) MDI 2 puffs qóh Major abnormal objective data this AM includes: BP 170/100 with pulse, 72 and regular; respirations, 28; expiratory wheezes bilaterally: negative crackles, JVD or peripheral edema. From the physical exam and a detailed history, the advanced practice nurse diagnosed HTN and COPD exacerbation Instructions: Discuss the drug classes (NOT specific drugs) 4:26 the physical exam and a detailed history, the advanced practice nurse diagnosed HTN and COPD exacerbation Instructions: Discuss the drug classes (NOT specific drugs) currently used to treat HTN (**not only what is currently prescribed), addressing the manipulation of preload, afterload, and fluid retention Be specific. Be sure to address MOA of each drug class, intended outcomes, and common side effects. Discuss drug classes (NOT specific drugs) currently used to treat COPD. Be sure to address MOA of each drug class, intended outcomes, and common side effects. Many interventions are appropriate for this man at this time. Based on his current medications, determine if they need to be continued or changed to another drug and why Previous Next TIL
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