Question

Select 3 priority drug and explain why:

Medication:
Isordil 5g
Zantac IVT
Tramadol 50mg IVT
Therabloc
Lavix 75mg
Pantoprazole
Arixtra 25mg
Captropril 25ng
Lipitor 1 tab
Bepridol (vascor)

Complaint : chest pain with acute epigastric pain
Diagnosis : acute myocardial infarction, hypertension Cardiovascular disease, ruled out PUD; diabetic nephropathy
Medical Hx : hypertension, diabetic nephropathy, chronic renal insufficiency

Answer 1

Captopril 25 mg :

Captopril is angiotensin converting enzyme inhibitor which inhibits the formation of angiotensin which is vasoconstrictor and hence it helps in dilation of blood vessels thus a drug of choice after myocardial infarction because it increases renal perfusion preventing renal failure.

Lavix 75 mg :

Lavix is an antiplatelet agent which prevents the formation of clot thus preventing the risk of stroke after myocardial infraction.

Bepridol :

Bepridol is calcium channel blocker which reduces the blood pressure. It is also used to treat unstable angina.

Pantoprazole :

It is proton pump inhibitor which decreases the production of hydrochloric acid thus a treatment of choice in myocardial infraction which is associated with burning sensation in the chest and abdomen.

Thank you.