Vandiver, ACS LG is a 64 yo male with chronic stable angina….

Vandiver, ACS LG is a 64 yo male with chronic stable angina.  Patient previously had good symptomatic on metoprolol tartrate 100 mg twice daily, however he has recently reported increased chest pain with exertion when he walks up the stairs to his apartment, and even when he performs simple chores.  A stress test is ordered, which rules out any concern for ACS.  He is asking what can be done to address his chest pain related to his chronic stable angina.   Meds:  Metoprolol tartrate 100 mg twice daily, aspirin 81 mg daily, rosuvastain 5 mg daily, tadalafil prn BP:  156/86 mm Hg (152/84 on recheck), HR:  58 bpm Which of the following medication changes would be MOST appropriate?

(Hornecker Hypertension) A 70 year-old woman with hypertens…

(Hornecker Hypertension) A 70 year-old woman with hypertension and type 2 diabetes has been on hydrochlorothiazide 25 mg daily and metoprolol 50 mg BID for 5 years.  She was on lisinopril several years ago, but it was stopped due to a dry cough.  She was first diagnosed when her blood pressure was 180/82 mmHg.  Today, her blood pressure is 158/78 mmHg and her heart rate is 92 bpm.  Her urinalysis shows microalbuminuria (ACR 94 mg/g), SCr 1.6 mg/dL, potassium 4.1 mEq/L, weight 75 kg, and height 66”.  Her only complaint is a mild headache.  Losartan 50 mg daily is added to her regimen.   Which of the following is/are routine monitoring parameters for her antihypertensive drug therapy? I.  Heart rate II.  Serum potassium and sodium III. Serum creatinine and BUN IV. Fasting lipid profile

Vandiver, ACS A patient is being transported to the cardiac…

Vandiver, ACS A patient is being transported to the cardiac catheterization lab after being diagnosed with a NSTEMI.  The emergency room physician is concerned that the patient might have multi-vessel occlusions based on the electrocardiogram findings.  The intern assuming care for the patient asks how a P2Y12 inhibitor should be initiated.  What is the MOST appropriate response?