Alina Leon
1- The patient should be prescribed aspirin and a P2Y12 inhibitor like clopidogrel or prasugrel, two of the most important medications. A low molecular weight heparin or fondaparinux should also be added, and this is equally crucial to avoid thrombus development (Ashorobi, Ameer&Fernandez, 2022). Another option for treating chest pain and enhancing blood flow to the heart is to start a nitroglycerin drip. In order to control his hypertension, the patient should additionally receive oxygen therapy and be administered either an ACE (angiotensin converting enzyme) inhibitor or an ARB (angiotensin receptor blocker).
2- The patient’s treatment should be continued for a long time to guarantee that his immune system is recovered to normal levels, taking into account his present health and prior, or rather past, medical history. Aspirin and a P2Y12 inhibitor, which stop the growth of thrombi, should be taken even after being discharged from the hospital. Statin should be used throughout to treat his hyperlipidemia condition. Additionally, the importance of continuing on an ACE inhibitor or ARB to manage hypertension and a sulfonylurea or insulin to manage his diabetes is also highlighted. (Ashorobi, Ameer, & Hernandez, 2022) He should keep taking allopurinol and hydrochlorothiazide to treat his hypertension and gout, respectively.
3-
To treat his diabetes and hyperlipidemia, CP can benefit from lifestyle changes such quitting smoking, drinking less alcohol, and eating a balanced diet low in saturated fat and cholesterol (Rubenfire, 2018). To enhance his general cardiovascular health, he should also do frequent exercise and lose weight. CP ought to think about routinely checking his blood pressure and blood sugar levels. He has to be encouraged to schedule routine check-ups and follow-up appointments with a cardiologist and a primary care doctor.
REFERENCES:
D. Ashorobi, M. Ameer, and R. Fernando (2022). Thrombosis.
Barbara Jaime
CP suffers from coronary heart disease, which happens when a buildup of fatty substances in the heart arteries and blood flow slows or stops. The chest pain (Angina) might have been triggered by a physical activity that CP was doing, shoveling snow. CP should be recommended blood thinning medications that reduce the clotting of arteries. CP should take clopidogrel 75mg/day. It is combined with aspirin to treat acute chest pain, maintain blood vessel patency, and prevent blood clots. (NHS, 2020). Also, ACE inhibitors such as lisinopril as a second medication for the treatment of hypertension. CP is a diabetic patient with hyperlipidemia that needs hypoglycemic medication such as metformin 500 mg twice a day ( it is important to monitor renal function) and atorvastatin 40 mg daily to minimize the cardiovascular risk.
CP should continue taking Hydrochlorothiazide, 25 mg, once daily since he has high BP, which makes the heart and arteries work strenuously. Heart and artery dysfunction is possible if this condition persists for a long time. Additionally, CP should continue taking Allopurinol, 300 mg once daily, to treat high blood uric acid levels. Small, pointed crystals can form in and around your joints if uric acid builds up, as can happen if the body produces too much acid or if the kidneys do not filter it out efficiently enough.
The lifestyle modifications that can be recommended for CP include physical activity, eating a healthy diet, quitting smoking, and less excessive drinking of beer. Regular physical activity makes maintaining or reducing excess weight easier (CDC, 2021). Additionally, it helps alleviate stress and improves your mood while lowering your risk of developing cardiovascular disease, diabetes, stroke, high blood pressure, and even some malignancies (CDC, 2021). It is recommended that CP eats many fresh fruits and vegetables, decreased salt intake, and has fewer processed diets. Eating a diet heavy in saturated fats has been associated with an increased risk of cardiovascular disease. Improvements in cardiac function are seen within a short while, and the increased risk of heart attack is reduced by half after a year if one refrains from smoking and cuts back on alcohol consumption (Osei et al., 2019).
References
CDC. (2021, July 19). Coronary Artery Disease (CAD). CDC. Retrieved January 24, 2023, from
https://www.cdc.gov/heartdisease/coronary_ad.htm#:~:text=Lifestyle%20changes%2C%20such%20as%20eating,pressure%2C%20or%20an%20irregular%20heartbeat
NHS. (2020, March 10). Coronary heart disease. NHS. Retrieved January 24, 2023, from
https://www.nhs.uk/conditions/coronary-heart-disease/
Osei, A. D., Mirbolouk, M., Orimoloye, O. A., Dzaye, O., Uddin, S. I., Benjamin, E. J., … & Blaha, M. J. (2019). Association between e-cigarette use and cardiovascular disease among never and current combustible-cig
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