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.
Case Study is Due Date is extended 7/3/2020 by 12 Midnight. If submitted after 7/3/2020, points will be deducted. If Any questions, please do not hesitate to contact me.
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.?
Answer preview
The success of drug therapy is determined by examining whether the symptoms of angina have reduced (Ferrari et al., 2019). The therapy shall be deemed to be successful if E.H. reports reduced incidences of chest pains. Another avenue for determining success is to assess whether the drug’s mechanism has the desired effects. The previous section has highlighted that the mechanism via which nitrates work. Therefore, the patient is expected to have reduced blood pressure and less forceful heart contractions.
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