Reference no: EM133806737

Question

What long-term therapy should be initiated for her lipid disorder? What is your rationale for choosing this therapy? What are the precautions, contraindications, and potentially serious adverse effects that might occur due to this class of medications? Provide references within five years A 65-year-old white woman, Megan Hamilton, presents to the emergency department with orthopnea and paroxysmal nocturnal dyspnea in recent days; worsening dyspnea on exertion for the past few months and now dyspnea at rest; and pedal edema. She has a history of dyslipidemia, type 2 diabetes mellitus, hypertension, and coronary artery disease (status post 3-vessel bypass surgery two years ago). She denies any chest pain on exertion or at rest. She reports a history of osteoarthritis. Allergies/Intolerances: Intolerant to ACE inhibitors due to a cough No known drug allergies Current Medications: Amlodipine (Norvasc) 2.5 mg each morning Losartan (Cozaar) 100 mg each morning Enteric-coated aspirin 81 mg daily Rosuvastatin (Crestor) 20 mg each day Metformin (Glucophage) 1 gram twice a day Ibuprofen 600 mg three times a day Social History: Nonsmoker Does not drink alcohol Vital signs: Heart rate: 105 beats per minute Respiratory rate: 22 breaths per minute Blood pressure: 130/80 Room air oxygen saturation on pulse.