BUY-ESSAYS-ONLINE-FAST-GPAGUIDE

D.G. is a 74-year-old woman who arrives at the emergency room complaining of shortness of breath

D.G. is a 74-year-old woman who arrives at the emergency room complaining of shortness of breath, palpitations (for 2 days), and lower extremity edema. Her medical history includes diabetes mellitus, hypertension, heart failure with reduced ejection fraction, and osteoarthritis. She had a left heart catheterization and coronary angiography last year and has no significant coronary artery disease. She has a biventricular pacemaker/implantable defibrillator for heart failure symptom treatment and sudden cardiac death prevention. The patient’s current medications are losartan 100 mg/d, metoprolol succinate 50 mg/d, metformin 500 mg twice daily, spironolactone 25 mg/d, furosemide 40 mg/d, and naproxen 500 mg twice daily. Vital signs are as follows: blood pressure of 140/80 mm Hg, respiratory rate of 30 bpm, and heart rate of 120 bpm. ECG shows atrial fibrillation with a rapid ventricular response. Echocardiography reveals a moderately dilated left atrium, left ventricular systolic ejection fraction of 35% (unchanged), chronic kidney disease (baseline serum creatinine 1.01 mg/dL), and moderate mitral regurgitation. Pertinent laboratory values include the following: hemoglobin 12 g/dL, hematocrit 36%, platelets 300,000/microliter, and serum creatinine 1.20 mg/dL (estimated creatinine clearance 39 mL/min). Her weight is 60 kg (increased from 55 kg), and height is 5 ft 3 inches. She does not smoke and does not drink alcohol. Dietary habits include one can of Ensure daily, with other meals provided by a social service agency (Meals on Wheels). Social concerns include the fact she lives alone, but a son visits every 1 to 2 weeks and transports her to physician appointments. She is living on a limited budget. With regard to her medication adherence, her son states that she occasionally forgets to take her afternoon medications, but overall, she is considered to be reasonably adherent with her drug regimens.

Diagnosis: Atrial fibrillation, acute onset

Answer the following questions. Include two references, cited in APA style.

Need Help Writing an Essay?

Tell us about your assignment and we will find the best writer for your paper.

Write My Essay For Me

List specific goals of treatment for D.G.

What drug therapy would you prescribe for stroke prevention in atrial fibrillation? Why?

What are the parameters for monitoring success of the anticoagulant therapy?

Discuss specific patient education based on the prescribed therapy.

List one or two adverse reactions for the selected agent that would cause you to change therapy.

What would be the choice for the second-line therapy?

What OTC or alternative medications would be appropriate for D.G.?

What lifestyle changes would you recommend to D.G.?

Describe one or two drug–drug or drug–food interactions for the selected agent.

Do you find yourself approaching a tight assignment deadline? We have a simple solution for you! Just complete our order form, providing your specific instructions. Rest assured that our team consists of professional writers who excel in their respective fields of study. They utilize extensive databases, top-notch online libraries, and up-to-date periodicals and journals to ensure the delivery of papers of the utmost quality, tailored to your requirements. Trust us when we say that thorough research is conducted for every essay, and our expertise in various topics is unparalleled. Furthermore, we have a diverse team of writers to cover a wide range of disciplines. Be assured that all our papers are created from scratch, guaranteeing originality and uniqueness.

Write my essays. We write papers from scratch and within your selected deadline. Just give clear instructions and your work is done

PLACE YOUR ORDER