A Brief Note On Atherosclerosis And Coronary Spasms

Patient complained she was short of breath and experiencing severe pain between her shoulder blades. She stated that she has been feeling nasuseated for the past 3 hours. She states she has a history of stable angina and is currently taking medication as needed. She states she did not take the nitroglycerin because she was not experiencing chest pain, just back pain. She states that her last check-up with the Pulmonologist showed that her EKG did not show any changes since her last visit. She denies episodes of syncope. The patient does report that she tripped over something on the floor, which resulted in her falling and hitting her back on a large table. In addition, she states that her heart rate has been ranging from 130/ 90 to 140/92. Patient states her Primary care physician placed her on blood pressure medication 2 months ago due to the increase.

Mr. Howard was evaluated by his family physician after a prolonged episode of chest pain. The results of an electrocardiogram (ECG) were unremarkable; however, in view of the progression of his symptoms, he was referred to a cardiologist. Mr. Howard underwent a stress treadmill

Here’s a list of medications that are known to interact with this drug. There may be others not listed. If you have any questions, ask your

Epinephrine is a sympathomimetic and rasagiline is a selective MAO-B irreversible inhibitor, the concomitant use causes vasoconstriction, which leads to severe hypertension. This patient uses EpiPen for anaphylaxis reactions, not every day. She needs to go to the emergency room if she needs to use the EpiPen. She also takes Lisinopril, which indicates that she might have hypertension. It's important to counsel her on her new medication as well as the potential drug-drug interaction between rasagiline and EpiPen, watch out for severe and prolonged hypertension if needed to use both medications. Reinforce the importance of knowing the full medication list and let the medical assistant people aware of it. Rasagiline may cause drowsiness or sleepiness, so avoiding activities that requiring mental alertness or coordination. It may lead to hypotension, orthostatic hypotension, hypertension, ataxia, dizziness, dyskinesia, weight loss, constipation, depression, altered mental status or behavior. Avoiding sudden discontinuation of rasagiline would be important. Avoiding food and beverages that have high tyramine contents (more than 150mg) while taking

Beta Blockers are known as a medicine that used to treat a person who has a blood pressure. By blocking the effect of adrenaline and noradrenaline, this drug can lower blood pressure, slow down the heart rate and lessen the force of the blood impelled in the body. While taking this drug, it requires to check the pulse daily and when it is slower than it was supposed to be, ask the doctor if the medication needs to take that day. Sometimes, the beta blocker doesn’t work right while the person is also using another drug. The person who is taking this medication should avoid caffeine and alcohol and for those whom this drug may not work with them are older people and people with asthma, for those who has a low blood pressure, and person who has

Relevant interactions: Diuretics - hypokalemia, predisposing patient to digitalis toxicity. Antacids - decreased absorption of oral digoxin.

The use of strong cytochrome P450 3A4 inhibitors (e.g., ritonavir) with Symbicort may cause increased systemic corticosteroids. Formoterol, a component of Symbicort, can produce significant cardiovascular effects, such as flattening of the T-wave, prolongation of the QTc interval, and ST depression. In addition, because of the action of formoterol on the vascular system, taking with monoamine oxidase inhibitors and tricyclic antidepressants should be cautioned. Furthermore, beta-blockers, including eye drops may not only produce severe bronchospasm in patients with asthma, but may block the pulmonary effect of the beta-agonists, such as formoterol as well. Finally, caution is recommended when administered concomitantly with non-potassium-sparing

This drug is used as an antidepressant. Anxiety, dizziness, blurred vision, dry mouth, diarrhea, and weight gain or loss are common effects of the medications and with aging. But serious effects such as fever; seizures, tremors, chest pain, hepatic necrosis, renal failure, abnormal bleeding, and infection should be cautioned. The dosage of this medication should not be prescribed more than 40 mg daily. Monitoring for mental changes when taking this medication is needed. It should be cautioned to watch for a change in behavior from depression into a mental illness. If this occurs medical attention is needed. Nurses should also assess elderly patients taking diuretics for signs of suggesting syndrome of inappropriate secretion of antidiuretic

Let me explain to you what is known as “Drug-Drug interaction”. Drug-Drug interaction occurs when two or more drugs react with each other. This drug-drug interaction causes people to experience an unwanted and an unexpected side effect. In your case, it was your drug fluoxetine and metoprolol which caused an increase in latter. Another words, your fluoxetine produced serious adverse effects, which was

studied verapamil-digoxin interaction in cirrhotic patients. The study found 98% increase in the AUC and Cmax of digoxin and 23% decrease in digoxin renal clearance. (21). Verapamil-digoxin interaction in chronic hemodialysis patients was studied in 1990. Rendtorff and colleagues study showed great inter-individual variation in the influence of verapamil on SDC in chronic hemodialysis patients. (24). Two case reports of asystole, one third degree AV block and two deaths for verapamil-digoxin interaction. (15-18). Gordon, et al. published a case series in, 1986, suggested lower digoxin doses for elderly and avoiding their concomitant use with verapamil. Finally, a case report in 2003 for Japanese male was found dead in his room. The cause of death was documented as cardiac failure due to medications overdose. Kinoshita, et al. suggested that drug toxicity was potentiated by verapamil-digoxin and metoprolol interactions.

In the department of Cardiology coronary artery disease is a major disease in the world. Coronary artery disease is the damages of the hearts major blood vessel for fat deposits. (2017, April 26) Plaque restricts the blood flow to the heart, which in the end progresses to a myocardial infraction also know as a heart attack, which is another major condition in the department of cardiology. When a patient is suffering from CAD, they may experience angina (chest pain) in the thoracic region that could circulate to their arms and neck. Arrhythmia can also occur, whether or not if it’s fast or slow paced. A patients pulse could also change depending on what is going on with the patient at the time. When a patient has CAD (coronary artery disease), there are a few procedures that are required from them on a monthly to yearly bases. Cardiac Catherization is one which is a procedure performed by passing a catheter into the blood vessel to see if there is any blockage in the arteries. (2017)

The patient was on hydromorphone for his abdominal pain due to liver disease, deferoxamine mesylate to treat secondary hemosiderosis, insulin due to diabetes mellitus, folates for sickle cell anemia, sertraline for possibly depression due to the hepatitis C, lansoprazole for stomach acid balance, promethazine for pain, and digoxin for cardiomyopathy.

Medications that can cause interactions include anticoagulants, probenecid, bisphosphonates, angiotensin-converting enzyme (ACE) inhibitors, anticoagulants (Warfarin), antiplatelet medicines (Clopidogrel), aspirin, corticosteroids (Prednisone), heparin, other NSAIDs (Ibuprofen), Rivaroxaban, or Selective Serotonin Reuptake Inhibitors (SSRIs) (Fluoxetine) due to the risk of stomach bleeding may be increased. Bisphosphonates (Alendronate), Cyclosporine, Hydantoins (Phenytoin), Lithium, Methotrexate, Quinolones (Ciprofloxacin), Sulfonamides (Sulfamethoxazole), and Sulfonylureas (Glipizide) side effects may be increased by Naproxen. The effectiveness of Angiotensin-converting enzyme (ACE) inhibitors (Enalapril), Beta-blockers (Propranolol), or diuretics (Furosemide, Hydrochlorothiazide) may be decreased by Naproxen (Lexi-Comp,

Coronary artery disease (CAD) is caused by fatty buildup in the arteries of the heart. Your arteries are made to carry oxygen infused blood to your heart and other parts of your body if it is filled up with plaque, which is the fatty substance that clogs and blocks up the arteries. If it gets clogged enough to where your heart is not receiving fresh oxygen, you could have a heart attack that could cause very serious damage to your body and could even kill you. When you are younger, you can begin to grow plaque in your blood vessels from not eating right and not exercising regularly. When your arteries are being filled up with plaque they become more narrow and harder for blood to get through as easily as it is supposed to be. When you have

Like any other organs in our body, the heart needs a supply of blood and