FIU Chronic Stable Angina Advanced Pharmacology Research Paper

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Vaqvxngul

Health Medical

Florida International University

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Instruction: Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page.

Chronic Stable Angina

E.H. is a 45-year-old African American man who recently moved to the community from another state. He requests renewal of a prescription for a calcium channel blocker, prescribed by a physician in the former state. He is unemployed and lives with a woman, their son, and the woman’s 2 children. His past medical history is remarkable for asthma and six “heart attacks” that he claims occurred because of a 25-year history of drug use (primarily cocaine). He states that he used drugs as recently as 2 weeks ago. He does not have any prior medical records with him. He claims that he has been having occasional periods of chest pain. He is unable to report the duration or pattern of the pain. Before proceeding, explore the following questions: What further information would you need to diagnose angina (substantiate your answer)? What is the connection between cocaine use and angina? Identify at least three tests that you would order to diagnose angina.

Diagnosis: Angina

1. List specific goals of treatment for E.H.

2. What dietary and lifestyle changes should be recommended for this patient?

3. What drug therapy would you prescribe for E.H. and why?

4. How would you monitor for success in E.H.?

5. Describe one or two drug–drug or drug–food interactions for the selected agent.

6. List one or two adverse reactions for the selected agent that would cause you to change therapy.

7. What would be the choice for the second-line therapy?

8. Discuss specific patient education based on the prescribed first-line therapy.

9. What over-the-counter and/or alternative medications would be appropriate for E.H.?

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Explanation & Answer

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Running head: CHRONIC STABLE ANGINA

Chronic Stable Angina
Student’s Name
Institutional Affiliation
Date

1

2

CHRONIC STABLE ANGINA
Part one
1. What further information would a clinician need to diagnose angina?

Besides chest pains, old age, and stress, the clinician should ascertain if E.H has
experienced mild or severe pains in other parts of the body, including the neck, jaw,
shoulders, arms, or back. Further, if the patient has chronic angina, they can also experience
profuse sweating, nausea, dizziness, fatigue, and shortness of breath. Risk factors such as not
exercising increases cholesterol levels in the body contribute to high blood pressure,
heightening the risk and angina and heart attack (Kim and Park, 2019).
2. What is the connection between cocaine use and angina?
Acute effects of cocaine on the heart include acute hypertension, electrocardiographic
abnormalities, acute myocardial infarction, and arrhythmia. However, chronic effects of
cocaine abuse comprise subclinical coronary atherosclerosis and cardiomyopathy but lack
association with coronary artery disease (CAD). As such, persons with great risk for CAD
experience coronary atherosclerosis. Thus, the chronic effects of cocaine are most feasibly
noticeable among persons with high CAD risk (Kim and Park, 2019).
3. Identify at least three tests you would order to diagnose angina.
An exercise tolerance test, also called stress testing, on a treadmill or bicycle if E.H
has a normal resting electrocardiogram (ECG) and can exercise. The additional prognostic
data allow the clinician to record blood pressure response, chest dyspnoea, discomfort,
exercise workload, and ECG changes consistent with ischemia (Ong...


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