KASUS KARDIO KELOMPOK D

KASUS URUT SESUAI KELOMPOK.

1.

B.V. is a 28-year-old woman brought to your emer-gency department for treatment of status epilep-ticus. She
receives lorazepam 4 mg intravenously with subsequent seizure cessation. Whats medications is the best next
treat-ment step for B.V.?

2.

J.H. is a 42-year-old man with complex partial sei-zures for which he was prescribed topiramate. He has been
increasing the dose of topiramate every other day according to instructions from his prima-ry care provider. He comes
to the pharmacy where you work but seems a little confused and has diffi-culty finding the words to have a
conversation with you. What the best assess-ment of J.H.s condition?

3.

R.H. is a 59-year-old man who presents to the emergency department for new-onset left-sided weakness that
began 6 hours ago. He has a history of hypertension and coronary artery disease. His medication list includes
atenolol 50 mg/day orally, hydrochlorothiazide 25 mg/day orally, and aspirin 325 mg/day orally. His vital signs
are blood pres-sure (BP) 160/92 mm Hg, heart rate (HR) 92 beats/ minute, respiration rate (RR) 14
breaths/minute, and temperature 38C. The treatment team assess-es this patient for treatment with tissue
plasmin-ogen activator and asks for your opinion. What the best reply given this information?

4.

M.R., a 34-year-old pharmacist, has throbbing right-sided headaches. She experiences nausea, phonopho-bia,
and photophobia with these headaches, but no aura. She usually has headaches 2 times/month. She is
hypertensive and morbidly obese. She takes an ethinyl estradiol/progestin combination oral contraceptive daily
and hydrochlorothiazide 25 mg/day orally. She has a diagnosis of migraine headaches. What the following
medications is best for prophylaxis of her headaches?

5.

R.M. is a 47-year-old woman with long-standing migraine headaches. Her headache pain is easily relieved with
sumatriptan 100 mg orally as the oc-casion requires. However, with her last dose, she experienced substernal
chest pain radiating to her left arm. She reported to her local emergency de-partment and had a complete
workup. Her final diagnosis was coronary artery disease and hyper-tension. For these conditions, she was
placed on hydrochlorothiazide 25 mg orally every morning. R.M.s family physician asks what drugs is best for
R.M. to use for her mi-graine headaches.

6.

L.S. is taking carbidopa/levodopa 25 mg/100 mg orally 4 times/day and trihexyphenidyl 2 mg orally 3

times/day for his Parkinson disease. L.S.s wife reports that he is often confused and experiences constipa-tion;
he has trouble talking because of his dry mouth. What the best to resolve these symptoms?