Coronary Artery Case Study Assignment 2022

Running head: CORONARY ARTERY CASE STUDY 1
Coronary Artery Case Study
Student’s Name
University

CORONARY ARTERY CASE STUDY 2
Coronary Artery Case Study
Name: Warfarin
Use- This drug is coumarone anticoagulant, a long term prophylaxis drug used for atrial
fibrillation.
Side effects
Can lead to inappropriate bleeding which is manifested in bruising, haematuria, blood in stool
and joint pain.
Interactions
Diet rich in vitamin K foods and metformin can help reduce the anticoagulant effect. Interaction
with other drugs like aspirin, cefazolin, enoxaparin and magnesium pantoprazole can increase
bleeding (Adams, 2016).
Nursing implications
Individual daily dosage is to be determined by a qualified professional while testing through
urinalysis is done to determine the side effects (Broyles, 2017).
Name: Aspirin
Use:
Aspirin is used to inhibit platelets in the bloodstream to reduce clotting. It works faster when
chewed and reduces the blood concentrations b 50%
Side Effects:
Common side effects include upset stomach, heartburn drowsiness and mild headache. Severe
side effects include nausea, vomiting, rapid breathing, bloody stools, swelling and sometimes
pain lasting more than three days.
Interactions:

CORONARY ARTERY CASE STUDY 3
When interacted with warfarin and heparin it can increase the additive anticoagulant effect which
will increase bleeding. When used with ibuprofen it decreases the antiplatelet effect (Serhan &
Chiang, 2013). This drug also leads to increased risk of GI bleeding with alcohol,
glucocorticoids or NSAIDS.
Nursing Implications:
The patient needs to be assessed for signs of bleeding through checking the stool, bleeding gums,
petechial and ecchymosis. The drug needs to be discontinued if severe effects are witnessed by
the patient.
Name: Metriprolol
Use: used for blocking adrenergic receptors on the myocardium. The onset of the drug is within
fifteen minutes of taking (Lehne, 2010).
Side Effects:
Palpitation, cold extremities, intermittent claudication and heart failure. Slight effects include
heart burn, fatigue, dizziness, nausea, and headache.
Interactions:
Combination with calcium channel blockers can result in heart failure and hypertension. Use of
barbiturates and rifampin can inhibit the effects of metoprolol (Lehne, 2010).
Nursing Implications:
The need to monitor blood pressure and apical pulse before administration. Patients with
metoprolol IV boluses need to be put on a cardiac monitor.
Name: Metformin XR
Use:

CORONARY ARTERY CASE STUDY 4
This drug is a biguanide and is used to lower high blood glucose levels by improving body
sensitivity through reducing glucose produced in the body and the amount of glucose the
intestine absorbs thus reducing the intensity of heartbeat (Derosa, D’Angelo, Romano, &
Maffioli, 2017).
Side effects:
Long-term use can lead to heart disease, blindness, kidney damage, and poor circulation.
Interactions
The drug should not be taken by patients on metformin medication since it leads to allergic
reactions like shortness of breath, wheezing and swelling of the face. This drug also reacts with
most high blood pressure medications and diuretics (Derosa, D’Angelo, Romano, & Maffioli,
2017).
Nursing implications
Type 1and 2 diabetes patients should not take the drug since it can lead to accumulation ketone
bodies in blood. The nurse needs to ask the patient if he/she has kidney or liver problems.
Alcohol dependence, dehydration, pancreatis, thyroid problems and heart problems.
Name: Ramipril
Use
Used to treat high blood pressure through reducing the risk of a heart attack by working as an
angiotensin-converting enzyme (ACE) inhibitor. The drug relaxes the blood vessels in the body
thus reducing stress on the heart and lowering blood pressure (Thomsen, Rasmussen, & Linnet,
2014).
Side effects