If there is a free courier, the order is delivered on the day of the order or the next day. You can specify the delivery time of the order viagra australia Clear work, respectful attitude to the buyer, timely delivery.
Demographic and Administrative Information
A.W.M., a 68 years old male is a known case of DM, HTN, A-fib, HF and IHD. He is
admitted to the hospital complaining of shortness of breath and severe abdominal
distension of one week duration and is diagnosed as a case of decompensated heart failure
with ascitis and digoxin toxicity. The patient underwent paracentesis on 25/9/2011.
On admission the patient suffered from decompensated HF, subset II, and acute kidney
Note: Upon the interview it appeared that A.W.M. took double the dose of digoxin and
carvedilol because of his vision problem.
low salt diet
The patient suffers frommoderate visionimpairment.
Chemistry and CBC
Tests and Procedures
Fasting Blood glucose
Review of Systems
– conscious, oriented, sleepy, fatigued,
: blurred vision
: shortness of breath
: nausea, vomiting and diarrhea
CV – freeAbd – Soft,non-distended; no massesor obvious tenderness,nausea, vomiting anddiarrhea.
Carvedilol 25 mg PO ½ x2 (since 3 months)
Digoxin 0.25 mg PO ½ x1 (since 3 months)
Amiodarone 200 mg PO 1x1 (since 2 weeks)
Current Drug Therapy
(held on 25/9)
(held on 23/9)
(held on 23/9,
Pharmacist care plan for current medications
Treatment Related Issue
Follow up and monitoring
1) What are the advantages and disadvantages of the new oral anticoagulant
dabigatran in comparison to warfarin?
2) Is it rational to replace amiodarone with the less lipophilic drondarone in
this patient? Justify your answer.
3) What are the advantages and disadvantages of the renin inhibitor
Aliskiren in comparison to ACEIs and ARBs in the treatment of
1. Full name (as in passport)______________________________
2. Age _____
3. Professional Degree ____________________________________
4. Institution ___________________________________
5. Country _________________________
6. E-mail address _________________
Medical Exception / Precertification* Request Form For Prescription Medications Please complete form and fax to: 1-800-408-2386 or call 1-800-414-2386. Visit https://www.aetna.com/provweb/ to register to e-mail your requests for a faster response. Visit www.aetna.com/formulary to access the Pharmacy Coverage Policy Bulletins. Physician Signature ( REQUIRED ) Please circle
Electronic Communications Disclosure Note: This Electronic Communications Disclosure (“eCommunications Disclosure”) applies to communications that we are legally required to provide to you in writing and other communications that we provide to you in connection with any or all of your accounts, products and services. Please read this eCommunications Disclosure thoroughly – It cont