1. Mr. S is a 65-year-old male

1. Mr. S is a 65-year-old male who presents to the office for a routine physical. You take his blood pressure and note it is 160/90, heart rate 72, and RR 20. The rest of his physical exam is normal. He has not been in for a physical in a number of years. His only known medical history is he was a former smoker. He is currently not on any medications. He has no known cardiac history. The physician is seeing him today and had prescribed amlodipine 5mg daily. Please use the scenario to answer the following questions (total 4 pts): a. Please identify which drug class amlodipine belongs to (i.e., beta blocker, ACE inhibitor) (1 pt) b. Describe the mechanism of action of amlodipine and why it would be prescribed for lowering the blood pressure. (4 pt) 2. A few days later Mr, S shows up in the Emergency Room with 90-minute history of chest pressure radiating to his left shoulder. He has also been experiencing some nausea. He is diaphoretic, pale and tachycardic. The rest of his physical exam in normal. His ECG demonstrates he is having a ST elevated myocardial infarction. The cath lab team has been called. However, the patient continues to experience chest pain. Please answer the following questions based on information provided for this case study Image transcription text II II History: Smoker 1 pack per day/ 20 years, hypertension. Medications: Amlodipine 5mg Vital Signs on presentation: Blood pressure 180/110, heart rate 100, Respiratory rate 24, Temperature 98.7 F, Pulse ox 95%, Pain scale 10/10 a. identify at least 3 pharmacological interventions you might anticipate will be ordered as Mr. S is awaiting to go to the cath lab. You will need to provide rationale for why you chose those 2 medications. (9 pts each with rationale) 3. A few hours later Mr. S is back from the cath lab and had 2 stents placed in the left anterior descending artery. He is on your unit post-catheterization in stable condition and is not having any complications related to his heart attack. Upon arrival to your unit: Blood pressure 142/85, RR 16, Temp 98.7, Heart rate 72. You perform a physical exam and findings are all normal. b. You are reviewing the medication administration record, please identify at least 3 drug classes (you may include the name of a medication here if you like) you would expect this patient to be prescribed post myocardial infarction and why. Please also include the mechanism of action of each drug (9 points). 4. It is now 2 days later and this patient starts to complain of shortness of breath. His echocardiogram shows reduced left ventricular function with ejection fraction of 30%. On exam he has 2+ pitting edema in the lower extremities and rales in the lung bases. You review her weight and note he is up 5 pounds since his admission 2 days ago. Given his exam findings answer the following (7 pts total): a. What would you expect is going on with this patient? In other words what would you anticipate his diagnosis to be? (1pt) b. Given his exam findings and diagnosis what would you expect would need to be ordered to treat this patients symptoms of fluid overload? Please explain why you chose this drug or drug class and the mechanism of action (4pts) c. Based on you answer for b, name at least 2 important nursing considerations related to the drug/drug class you chose (ie, specific lab data, physical exam data, ect.,) and why (2 pts) BASED ON THIS PLS ANSWER QUESTION NUMBER 4

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