Essay on Cardiovascular Disorders
NURS 3015 Section 4
July 22, 2012
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 …show more content…
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