Dopamine Case Study

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His current medications include metformin (Glucophage), insulin human regular (HumuLIN R), warfarin (Coumadin), furosemide (Lasix), carvedilol (Coreg), captopril (Capoten), potassium (KDur), thiamine (Thiamilate), multi-vitamin (One-A-Day), trazadone (Desyrel), moxifloxicin (Avelox), amiodarone (Cardarone), and a nitroglycerin patch (Nitro-Dur). The ECG revealed that the distal two thirds of the left ventricle were akinetic, and his cardiac catheterization revealed that he had an 80% occlusion of the left coronary artery and severe diffuse disease of the left anterior descending coronary artery.
Physical Examination
Height. Mr. Borg stands 5 feet 11 inches tall.
Weight. Mr. Borg weighs 210 pounds.
Vital signs. His vital signs are as follows,
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Mr. Borg’s dopamine drip was titrated to 9 mcg/kg/min in 500 ml D5W to maintain a systolic pressure of 90 mm Hg. Dopamine is an organic chemical that occurs naturally in the body to keep the heart pumping. Dopamine (Intropin) can be used to treat low heart rate during shock (“Dopamine Injection: Uses, Dosage & Side Effects - Drugs.com,” 2015).
Furosemide (Lasix). The physician prescribed furosemide (Lasix) 80 mg, administer IV injection over 1 to 2 min to decrease fluid in the lungs. Furosemide is a loop diuretic used to help with fluid retention and swelling caused by CHF (“Furosemide (Injection Route),” 2015).
Furosemide (Lasix). Mr. Borg was prescribed furosemide (Lasix) 40 mg by mouth three times a day to help prevent reabsorption of Na and Cl, and to help with fluid retention. Furosemide is a loop diuretic used to help with fluid retention and is used in combination with other medications to treat hypertension (“Furosemide (Oral Route),” 2015).
Insulin Human Regular (HumuLIN R). Mr. Borg is taking insulin human regular (HumuLIN R), per sliding scale dosing, for type 2 diabetes. Insulin human regular (HumuLIN R) is a short acting insulin that helps people with diabetes keep their blood sugar levels under control (“Insulin Human Regular (Injection Route),”
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Mr. Borg was prescribed a nitroglycerin (Nitro-Dur) patch to be applied in the morning and removed at bedtime daily. This medication is used to reduce the number of angina attacks over time (“Nitroglycerin (Transdermal Route),” 2015).
Potassium Chloride (KDur). Prior to hospital admission, Mr. Borg was taking 40 mEq by mouth, twice a day, to regulate his potassium levels while taking Lasix. Supplemental potassium chloride (KDur) is needed in patients who have lost too much potassium because if illness or treatment with other medications. (“Potassium Supplement (Oral Route, Parenteral Route),” 2015).
Potassium Chloride (KDur). During Mr. Borg’s hospital stay, his potassium dosage was changed to 30 mEq by mouth, three times a day, based on his potassium levels. Potassium Chloride (KDur) is prescribed for patients that have decreased potassium levels due to diuretic medication therapy. (“Potassium Supplement (Oral Route, Parenteral Route),” 2015).
Thiamine (Thiamilate). Mr. Borg has been taking thiamine (Thiamilate) 100 mg IM daily due to his history of alcoholism. Thiamine (Thiamilate) is a vitamin needed for the breakdown of carbohydrates. There is an increased need for thiamine (Thiamilate) in patients with a history of alcoholism (“Thiamine (Oral Route, Injection Route),”

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