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Case Study 2:
Atrial Fibrillation and Age
Pharmacotherapy for Cardiovascular Disorders
Atrial fibrillation (AF) is a common condition of arrhythmic disorder common among the aging population. AF leads to significant mortality and morbidity because of the deposition of the cardiac function and the complications associated with the thromboembolic system (Dingxin et al. Dolphins Reshad Jones Jersey , 2015). Approximately 2.7 60 6.1 million people are suffering from AF in the United States. With the increasing number of the aging population, the number of those having AF is expected to increase (Fuster et al., 2014). It is crucial to determine the up to date and current medical history of the patient. I will also measure e the vital signs of the patient including blood count, weight height, prothrombin ratio (PR) and basic metabolic profile. Others are the current hemoglobin A1C, international normalized ratio (INR) Dolphins Dan Marino Jersey , electrocardiogram, lipid panel, carotid Doppler and echocardiogram. I will also have to assess the medication changes of the patient to attain better control of the disease at hand. It will involve determining the kidney functions due to having hypertension and being diabetic. I will educate HM on how to take Mortin and its possible reactions. HM鈥檚 goal is to prevent TIA in future, have a better control of blood sugar m reduce the lip level and monitor the levels of arterial fibrillation that can have the cure (Arcangelo,, & Peterson Dolphins Michael Deiter Jersey , 2013).
鈥? Pharmacokinetic and pharmacodynamic on drug therapy
By examining some of the medications prescribed for the patient, I will understand how well the medication substitution to treating the prints condition of the patient and if or not it should not be in the patient鈥檚 daily regimen.
The Atenolol is a cardiovascular beta-blocker according to Archangel and Peterson (2013). It is because it binds to the beta-1 receptors and not the beta-2 receptors and they do not cause the bronchi constriction stimulation. Atenolol works by blocking the peripheral beta and the central receptors leading to a decrease of the sympathetic outflow and cardiac output (Arcangelo & Peterson, 2013). ).this medication can, therefore, be part of MH鈥檚 regimen (Dingxin et al., 2014).
Motrin (ibuprofen) is a medication for nonsteroidal anti-inflammatory. The medication reduces the hormones that cause pain and inflammation in the body. The limitation of Motrin is that it increases the risk of stroke and heart attack especially w hen there is a preexisting condition of heart disease or its long term use ( Dolphins Christian Wilkins Jersey , 2015). There is also cardiovascular side effects such as elevated blood pressures as a result of reduced antihypertensive medications effects in patients already receiving the antihypertensive drugs ( , 2015).. Thus, this information is crucial to patients having pre-existing congestive heart failure and hypertension. Thus, this medication should not be included in HM鈥檚 daily regiment because he had been diagnosed earlier with ischemic heart disease and hypertension (Fuster, ET a, 2014).
Improving therapy
I will also include Simvastatin to HM鈥檚 daily routine since the drug falls under the statics or CoA reeducate inhibitors for lowering the various types of fats in blood triglycerides and the cholesterol level. The medication works by slowing cholesterol production in the body and decreasing the among of cholesterol on the arterial walls that block smooth blood flow to brain DeVante Parker Color Rush Jersey , heart and other parts of the body (U.S. National Library of Medicine, 2014).. Thus, Simvastatin helps in lowering the risk of heart attack, stroke, and other complications of the heart among individuals with coronary heart diseases, diabetes Xavien Howard Color Rush Jersey , and other risks.
I will and also give the patient Diltiazem, which is a calcium-channel blocker medication. The medication enables the relaxation of blood vessels so that the heart does not overwork by pumping hard. The calcium-channel blocker also increases the supply of blood and adds oxygen to the heart National Library of Medicine, 2015. The entry of calcium enables cells to contract and enable the arteries to narrow and the heart to pump blood (U.S. National Library of Medicine, 2015). Thus, these medications relax the arteries muscles enabling them to widen and decreases the contraction force of the heart. Thus, the recommended drug regimen will include Simvastatin 10mg daily Laremy Tunsil Color Rush Jersey , Diltiazem 180mg daily
Motrin 200 mg 1-tablets for six Motorman 1000 mg PO bid
Glyburide 10 mg bid, Aspirin 81 mg daily, Warfarin 5 mg daily (National Library of Medicine, 2015).




References.
Arcangelo, V, & Peterson Cordrea Tankersley Color Rush Jersey , (Eds.). (2013). Pharmacotherapeutics for Advanced Practice: A practical approach (3rd ed.). Ambler, PA: Lippincott Williams & Wilkins.


Dingxin, Q, Leef, R. & Patel, D. (2015). Comparative effectiveness of antiarrhythmic drugs for rhythm control of atrial fibrillation. Journal of Cardiology. Retrieved from DOI:10.1016 .2015.07.001
016 .2010.09.013U.S.


National Library of Medicine. (2015). Diltiazem: MedlinePlus Drug Information.
U.S. National Library of Medicine. (2014). Simvastatin.
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