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Case Study # 4 Because you are superstars! 54-year-old woman
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Case Study # 4 Because you are superstars! 54-year-old woman has a complex medical history is admitted to your unit today. She has coronary artery disease, with a first MI three years ago — however, she says she takes absolutely no medication at all. She also reports a history of fibromyalgia, migraine headache, osteoarthritis, hypothyroidism, and generalized anxiety disorder. She smoked for many years, and still has a smoker’s cough, but a chest x-ray 2 months ago (to rule out pneumonia) was normal. She has chronic venous insufficiency with lower extremity edema as a consequence of working as a waitress for most of her adult life. On exam today her blood pressure is 180/120 mm Hg, requiring immediate outpatient pharmacologic management. Many antihypertensive medicines were discussed this week and in the readings. After analyzing the scenario, select one or two drug classes for this patient and briefly discuss why they are a valid therapeutic option. Please also comment on why another class didn’t make your short list.
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