A 52-year-old man who suffers from angina when he climbs sta…
A 52-year-old man who suffers from angina when he climbs stairs or participates in similar activities receives a prescription for nitroglycerin (glyceryl trinitrate). He is instructed to take a tablet 1 or 2 minutes before he expects to climb stairs to prevent the angina. What is the mechanism of action of nitroglycerin that prevents angina from developing in this patient?
Read DetailsA 74-year-old man who self-describes himself as being Africa…
A 74-year-old man who self-describes himself as being African-American is taking metoprolol, losartan, furosemide, and digoxin to treat his heart failure. However, he still has some symptoms of heart failure. The most appropriate drug to add to this patient’s drugs is
Read DetailsAn 83-year-old female patient whom you have followed for man…
An 83-year-old female patient whom you have followed for many years has just been admitted to a nursing home following a short hospitalization. Because of a steady decline in function and lack of family and social support, you and the patient have come to the realization that she can no longer safely live alone in her home and her needs were too great for assisted living. Her medical problems include: heart failure, chronic atrial fibrillation, osteoarthritis, and depression. Her current medications are: warfarin, furosemide, acetaminophen, calcium carbonate, lisinopril, metoprolol, and fluoxetine. Both the patient and the nursing staff report poor sleep and depressed mood for the last 2 weeks, and the nurses are asking for a sleep aid. What is the best next step in the management of her insomnia?
Read DetailsAn 83-year-old female patient whom you have followed for man…
An 83-year-old female patient whom you have followed for many years has just been admitted to a nursing home following a short hospitalization. Because of a steady decline in function and lack of family and social support, you and the patient have come to the realization that she can no longer safely live alone in her home and her needs were too great for assisted living. Her medical problems include: heart failure, chronic atrial fibrillation, osteoarthritis, and depression. Her current medications are: warfarin, furosemide, acetaminophen, calcium carbonate, lisinopril, metoprolol, and fluoxetine. Both the patient and the nursing staff report poor sleep and depressed mood for the last 2 weeks, and the nurses are asking for a sleep aid. What is the best next step in the management of her insomnia?
Read DetailsA patient with type 2 diabetes is taking metformin. The fas…
A patient with type 2 diabetes is taking metformin. The fasting glucose levels are in range, but the posprandial glucose is uncontrolled. All of the following drugs would be appropriate to add to the metformin to target postprandial glucose except:
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