Advanced Therapeutics Homework

AbdelRahman Omar
ID: 1710184

4/12/2020
 Coronary Heart Disease

Cases
Questions:

1. What is the information suggestive to acute MI?

Ans) Mr. CH was referred to the cardiology consultant because he has a creatinine
clearance of 20ml/min which is very low and worsening symptoms which might not be
controlled by that increase in dose so the cardiologist can increase it up to 160 mg if
he sees fit.

2. Identify your acute treatment goals for SD.

Ans) Patient could be switched from nebivolol to carvedilol , metoprolol, or bisoprolol

because they have been shown to reduce mortality and morbidity. If symptoms are
persistent after maxmimum dose of ARA, we can start him on hydralazine 75mg tid PO
and isosorbide dinitrate 40mg tid PO. Last option if uncontrolled would be digoxin.

3. Is reperfusion therapy with fibrinolysis indicated at this time?

Ans) Bla Bla

4. What adjunctive pharmacotherapy should be administered to SD in the emergency

department?

Ans)

5. What additional pharmacotherapy should be initiated on the first day of SD’s

hospitalization?

Ans)

Homework: What is the rationale behind using

chloroquine and hydroxychloroquine in SLE and arthritis?