Kate asked:
I am on a pharmacy rotation and I don’t know the answer to the question my preceptor asked. He wanted to know the cocktail of drugs that all patients should be on if they have coronary artery disease. I’m assuming aspirin as one, maybe enoxaparin. But, my patient has history of GI bleed. Anyone know?
I am on a pharmacy rotation and I don’t know the answer to the question my preceptor asked. He wanted to know the cocktail of drugs that all patients should be on if they have coronary artery disease. I’m assuming aspirin as one, maybe enoxaparin. But, my patient has history of GI bleed. Anyone know?
Tags: Aspirin | Cad | Hospital Pharmacy
March 1st, 2010 at 8:23 am
It should be ASA and statins and beta blockers. Of course only if there is no contraindication as your patient with the GIB has. Hypertension and hyperlipidemia lead to CAD so you need to target those problems.
March 1st, 2010 at 9:58 am
An antiplatelet agent such as ASA, a statin, and an ACE inhibitor or ARB.
March 4th, 2010 at 7:54 am
asa, plavix, b-blocker, ace inhibitor, anti lipid agent such as lipitor or crestor. in your case the asa and plvix would not be ok with the gi bleed but you get the gist of it? hypotensive pts would have issue’s with the beta blockade and ace inhibitor’s. also have to look at renal function to see if they are a good candidate for ace inhibitors
maybe a nitrate like imdur po.