Module Two Case Study- Cardiovascular and Hematopoietic Treatment Southern New Hampshire University Pathophysiology and Pharmacology Concepts IHP 310

Module Two Case Study- Cardiovascular and Hematopoietic Treatment

Southern New Hampshire University

Pathophysiology and Pharmacology Concepts

IHP 310

Module Two Case Study- Cardiovascular and Hematopoietic Treatment

Case study analysis for Ms. Breene, presented to Emergency department with symptoms of confusion and in unresponsive state. In the emergency room she was diagnosed with a myocardial infarction. Evidence of elevated cardiac markers and EKG changes confirmed the diagnosis of MI.

The patient was prescribed oxygen by mask, anticoagulants, a thrombolytic, analgesics and a bronchodilator.

Initial treatment for an MI is generally

• Morphine
• Oxygen
• Nitroglycerin
• Aspirin

In the case of Ms. Breene the treatment:

• Oxygen was correct treatment due to the ischemic changes patient was experiencing.
• Anticoagulant was also correct this class of drug helps to prevent blood clots. They are commonly used in patients with atherosclerosis of the arteries, atrial fibrillation, and acute coronary syndrome.
• Thrombolytic treat also correct for Ms. Breene, this class of drug is used to break apart a blood clot once it has formed.
• Analgesic treatment was right and this medication classification is the aspirin used for Ms. Breene. Salicylate analgesic drugs have three therapeutic effects as an analgesic, anti- inflammatory and antipyretic.
• Bronchodilator treatment was incorrect for this patient. This medication classification is used for respiratory conditions, such as asthma, COPD.

The drug classifications I would recommend are:

• Thrombolytic drugs are medicines that may be utilizedfor the emergency treatment of an ischemic stroke (a stroke caused by a blood clot), a heart attack (myocardial infarction), or a massive pulmonary embolism (PE). The generic name for one of these medications is Alteplase.
• Anticoagulants are usually used to treat conditions with a high risk of blood clots such as atrial fibrillation, deep vein thrombosis (DVT), myocardial infarction (heart attack), pulmonary embolism, and stroke. A generic name for one of these medications is Enoxaparin.
• Analgesics are,Aspirin is used to treat pain, and reduce fever or inflammation. It is sometimes used to treat or prevent heart attacks, strokes, and chest pain.

References

Drugs.Com. (2017). Retrieved from https://www.drugs.com

Story, L. (2015). Pathophysiology a Practical Approach.In A. Martin (Ed.), Cardiovascular Function (2nd, Ch.4).Burlington,MA: Jones &Barlett Learning.

Turley, S. M. (2016). Understanding Pharmacology for Health Professionals (5th ed.). Boston: Pearson.