Reference no: EM133676005

1. Mr. M is a 70 year old, 280 pound African American man admitted through the emergency Department for possible stroke. He has partial paralysis on his left side and is unable to speak. His PB 9s 190/110 mmHG and his CT scan confirms a recent stroke. He is a lifetime tobacco user. While in the hospital, Mr M was given reteplase, furosemide, and heparin. After release from the hospital, his medications were switched to hydorcholorthiazide, diltiazem, and aspirin.

Questions:

1. Given the risk factor, what might have contributed to the stroke?

2. Give the rationales for each of Mr, M's medications.

3. From the types of medications that Mr. M was given, can you determine whether he suffered from hemorrhagic stroke or a thrombotic Stroke? Briefly explain.

2. Mr. R is 72 yr old homebound patient, She I clinically obese and has been diagnosed with chronic heart failure, HTN and angina. She has been watching her diet and has cut her tobacco consumption one-half pack per day but does not feel that she is capable of exercising. Her latest complaint is that he frequency and intensity of her anginal pain have increase over the past 3 month. Mr. R is quite nervous about the possibility of having a heart attack. Her medications are isosorbide dinitrate (sustained release tabs), nitroglycerin (PRN) and lisinopril.

Questions:

1. What is the rationale for each of Mr. R's medication?

2. Are there lifestyle changes that you would suggest increasing her quality of life?

3. What are some possible explanations for Ms. R's current complain? Explain briefly.