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Health, Medicine, Nursing
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Topic:
Advanced Pharmacology (Essay Sample)
Instructions:
Students in their first graduate level pharmacology course are confused with the recommendations for hypertension (HTN) and treatment choices after ST-elevation myocardial infarction (STEMI) and with heart failure (HF). The drugs used several years ago and still seen commonly on the acute care floors the students work are not the ones now assuming a stronger role in cardiac health issues. For one, the primary order of which meds are selected for an initial level of blood pressure control has seemed to change.
Help your fellow students by explaining the following changes.
Which classification of drugs has taken the first-choice role in most patients with early hypertension? Is it wrong to select a thiazide diuretic or a beta blocker as was once done?
Is there another primary choice for African American patients? Why? source..
Content:
Week 5 Case Study NSG6005 Advanced Pharmacology
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Week 5 Case Study NSG6005 Advanced Pharmacology
Question 1
Low-dose thiazide diuretics are the primary method of treating hypertension. In terms of reduced mortality and increased life expectancy, this class of drugs is the most effective. First-line therapy often consists of thiazide diuretics because to its low cost, high efficacy, and generally good safety profile (Khong, & Adeyeye, 2019). Early detection of hypertension may also benefit from the use of beta-blockers, even though they should not be used alone to treat the condition (Wiysonge et al., 2017). Thiazide diuretics, beta-blockers, and vasodilators are the standard of care for individuals without preexisting cardiac conditions. A thiazide plus a beta-blocker are all that is needed to treat comorbidities like STEMI and heart failure. Calcium channel blockers and angiotensin-converting enzyme inhibitors might be used as a backup plan if the first treatment regimen doesn't provide the desired results (Rosenthal, & Burchum, 2021).
Question 2
Calcium channel blockers in combination with thiazide diuretics are the treatment of choice for the majority of African Americans (Helmer, Slater, & Smithgall, 2018). There are three distinct pharmaceutical combinations that have worked for this group. ACE inhibitors and thiazide diuretics, beta-blockers and a thiazide diuretic, and ACE inhibitors and calcium channel blockers all include the three different medication sequences that have been shown to be effective for this group's hypertension. If the calcium channel blockers and thiazide diuretics does not control their hypertension, then one of the other two medicatio...
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