Your patient is a 66 year old male. He reports that he has a history of...

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Your patient is a 66 year old male. He reports that he has a history of...

Your patient is a 66 year old male. He reports that he has a history of heart failure. He takes Plavix and aspirin daily.

What other systems should you inquire about based on the medication list?
What heart tone may or may not be present? What is the BEST way to assess it?

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Answer 1

Answer #1

The other system which has to be inquired about based on this medication are

Gastrointestinal :abdominal pain and cramping may occur when both medication are taken
Gastritis,malena ,nausea and "Ulcer" is common with a NSAID (Aspirin) ,diarrhoea is common with plavix
Sensory system:assess for tinnitus (aspirin)
Cardiovascular :chest pain (aspirin) and bleeding (both drug)
Muscular:Muscle pain ,rash(plavix)
CNS:headache (plavix) vertigo ,dizziness (Aspirin )
Endocrine :Inflammed pancreas causing low blood sugar level

The best way to assess the heart tone is by auscultation.

Use of plavix and aspirin indicates a A wave before the S1 heart sound in these patients .Grade II/VI murmur can be heard.

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Answer 2

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