Essay on Cardiovascular Disorders

1086 Words Nov 20th, 2014 5 Pages
Cardiovascular Disorders M C Jones
NURS 3015 Section 4
July 22, 2012

Medical history
Mrs K. was admitted to the telemetry unit following a cardiac catheterization and stenting of her right coronary artery (RCA). Labs and EKG preformed in the ER demonstrated elevated cardiac enzymes and troponin levels as well as EKG changes revealing the patient was experiencing an acute myocardial infarction (AMI). Upon admission to the telemetry unit her personal health intake reveals that she is overweight with irregular eating habits and blames her weight and lack of exercise on the length of her daily commute. Mrs. K’s admitting physician reveals that she is a newly diagnosed diabetic and is prescribing medications for
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Atorvastatin is an antihyperlipidemic medication that inhibits the enzyme HMG-CoA reductase, which helps the body to synthesize cholesterol. The expected result of atorvastatin is a decrease in serum LDL cholesterol levels and an increase in HDL cholesterol levels (Karch, 2009). It also reduces the risks of myocardial infarction, strokes, revascularization procedures, heart failure, and angina in patients with CAD (Karch, 2009). Patients with allergies to atorvastatin or those with active liver disease, elevated transaminase levels, pregnancy and lactation should avoid this medication (Karch, 2009).
Clopidogrel also commonly known as Plavix is a drug that prevents platelets’ from clumping which causes blood clots to form (Karch, 2009). A common off label use of this drug is as a loading dose along with aspirin following coronary stent placement (Karch, 2009). Clopidogrel should be avoided in patients with peptic ulcers, intracranial bleeding and lactation (Karch, 2009). There is an increased risk of GI bleeding when this drug is used in conjunction with NSAIDS (i.e., ibuprofen, naproxen) (Karch, 2009).
Metoprolol, a beta-adrenergic blocker, that decreases the excitability of the cardiac muscle, cardiac output, and the release of renin in the kidneys thereby lowering the blood pressure. It treats HTN alone or in

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