A 58-year-old male is admitted to the emergency department with chest pain that

Question

A 58-year-old male is admitted to the emergency department with chest pain that is radiating down his right arm. Twenty-four hours earlier, he was seen in the same emergency room for severe indigestion and belching. He has a history of gastroesphogeal reflux disease (GERD). An ECG was performed without revealing any changes.

Follow-up: After 1 hour, his pain was relieved and he went home. This morning, he woke up with chest pain and pain radiating down his left arm. He is also diaphoretic and nauseated. You are now in a code situation as the man becomes unconcious and is placed on a ventilator. He now has ST segment elevations on the EKG. You remember the man from the previous day and call for the previous day's chart, along with any old charts. It is then you realize he was not totally honest the previous day when he said that his only medical history was GERD.

What do I know about these medications? For each medication, what is the recommended dose, recommended route, and best time of day to give it? Do i know what lab results I need in regard to each medication? Do I know the approved use of each medication? Do I know the most common diseases treated by the listed medications? Are any off-label uses approved for each drug?

Asprin

Famotidine

Furosemide

Hydrocodone bitartrate and acetaminophen

Ipratropium

Methocarbamol

Nitroglycerin

Pregabalin

Ramipril

Repaglinide

Setraline

Slo-Bid

Do I know the individual's past medical history by looking at the medication list?

Can I place each medication under the body system that is commonly affects?

Neurological

Cardiovascular

Hematological

Pulmonary

Gastrointestinal

Nutrition

Genitourinary/renal

Explanation / Answer

To treat pain and inflammation ectc. (NSAIDs)

Asprin - 81mg - oral - TID

Famotidine -20mg - Oral -BD (for gastro esophageal reflux disease)

Furosemide - 20 -80mg - IM/IV - OD (Lasyx - renal failure)

Hydrocodone bitartrate and acetaminophen - 2.5 to 16mg - oral - BD - pain (Opioid)

Ipratropium - 250-500mcg - Inhalation orally - TID for COPD

Methocarbamol 750mg - oral - OD - musculo skeletal musle spasm

Nitroglycerin - 0.3mg - oral - BD - treat chest pain

Pregabalin - 75mg - oral -od - neuropathic and anxiety disorders

Ramipril - 5mg - oral - BD - congestive heart failure

Repaglinide - 0.5mg - oral - TID - blood sugars

Setraline - 100mg - oral - OD - antidepressant

Slo-Bid - 100mg - oral -BD- asthma - pulmonary

Yes he has severe GERD, cardiac psychological and diabetic probelms

Neurological – Setraline, Pregabalin

Cardiovascular – Ramipril, Nitroglycerin, Asprin

Hematological -

Pulmonary - Slo-Bid, Ipratropium, Ipratropium

Gastrointestinal - Furosemide

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