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Carmilla reviews Mr. Lowell's current medications: Mineralocorticoid Receptor Antagonist (MRA) Spironolactone 12.5mg by mouth daily Angiotensin-Converting Enzyme Inhibitor (ACE) Ramipril 2mg by mouth daily Beta-Blocker Metoprolol 25mg by mouth daily Vitamin Vitamin D 400 International Units by mouth daily Proton Pump Inhibitor (PPI) Pantoprazole 40mg by mouth daily. She also asks Mr. Lowell about herbal remedies, traditional and cultural practices, and over-the-counter medications. He informs her that he has been taking an over-the-counter non-steroidal anti-inflammatory, ibuprofen, for an achy knee. Using a drug guide, review Mr. Lowell's medications. Ensure to note: The action of the medication, important nursing considerations, any contraindications, which assessments will need to be done, and what the latest evidence suggests regarding the management of heart failure.
She denies ever having had this problem and cast. She denies any change in house cats, smoking, our other allergens that might be causing this problem
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