Cardiovascular Disease Discussion Questions

Cardiovascular Disease Discussion Questions
What would you add to the current treatment plan? Why?
I would add a beta blocker and an ACE inhibitor to the current treatment plan. Adding a
beta blocker and an ACE inhibitor to the current treatment plan is reasonable in this case because
the patient has CAD and is experiencing chest pain with exertion. Beta-blockers can help to
improve blood flow and reduce the risk of future MIs, while ACE inhibitors can help to improve
blood pressure and reduce the risk of heart failure.
Would you discontinue any of the currently prescribed medication? Why or why not
There is no need to discontinue any of the currently prescribed medications. The chest pain
is most likely due to Mr. EBR's CAD and can be managed with the current medication regimen.
If the chest pain becomes more severe or occurs more frequently, Mr. EBR may need to be
referred to a cardiologist for further evaluation and management. However, the most likely
reason to discontinue Atenolol would be if Mr. EBR was experiencing fatigue or bradycardia, as
these are common side effects of the medication. If he were tolerating the medication well, then
there would be no reason to discontinue it.
How does the diagnosis of stage 3 chronic kidney disease affect your choices?
The diagnosis of stage 3 chronic kidney disease may affect Mr. EBR's choices in several
ways. First, he may need to limit his fluid intake to help prevent further damage to his kidneys.
Second, he may need to limit his salt intake to help control his blood pressure. Third, he may
need to take medications to help control his blood pressure and cholesterol levels. Fourth, he
may need to have regular blood tests to check his kidney function and blood pressure. Fifth, he
may need to see a kidney specialist (nephrologist) to help manage his condition.

3
Additionally, he will need to take his medications as prescribed and attend all of his
follow-up appointments. Finally, he may need to make lifestyle changes, such as quitting
smoking and exercising. This improves his overall health.
Why the patient is prescribed more than one antihypertensive?
The patient is likely prescribed more than one antihypertensive medication because he has
both hypertension and coronary artery disease. His chest pain may be caused by CAD, and the
medications may help to prevent or treat this condition.
What is the benefit of aspirin therapy in this patient?
There are many benefits of aspirin therapy in this patient. Aspirin helps to prevent clotting,
which can help to prevent a heart attack or stroke. Aspirin also helps to reduce inflammation,
which can help to reduce the severity of chest pain.

4

Discussion Part 2

List three classes of drugs affecting the Hematopoietic System. List the mechanism of
action for each class of drug.
1. Antineoplastic drugs: These drugs kill cancer cells or prevent their growth. Mechanism
of action may involve DNA damage, cell cycle arrest, or induction of apoptosis.
2. Immunosuppressive drugs: These drugs suppress the immune system, which can help
prevent the rejection of transplanted organs or reduce symptoms of autoimmune diseases.
Mechanism of action may involve inhibiting the production or function of immune cells.
3. Hematopoietic growth factors: These drugs stimulate the production of blood cells.
Mechanism of action may involve stimulating the proliferation and differentiation of
hematopoietic stem cells (Garland & Rudin, 2020).
Choose one medication from the three classes and discuss what disorder the drug is used to
treat. How often is the medication given?
The medication I have chosen is an immunosuppressive drug. This drug is used to suppress
the immune system, which can help prevent the rejection of transplanted organs or reduce
symptoms of autoimmune diseases. The mechanism of action for this type of drug is that it
inhibits the production or function of immune cells.
The immunosuppressive drug help prevents organ rejection or reduces symptoms of
autoimmune diseases. The mechanism of action for this type of drug is that it inhibits the
production or function of immune cells. This can help to reduce the symptoms of these
conditions by reducing the activity of the immune system (Kim et al., 2019). The
immunosuppressive drug I have chosen is given in a pill form once daily.

5

What labs should get monitored while the patient is taking this medication?
There are a few different labs that should be monitored while a patient is taking an
immunosuppressive drug. One is the patient&#