Miss Josepovic (80 year old) was admitted yesterday following a fall at home. She did not sustain any serious injury but

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answerhappygod
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Miss Josepovic (80 year old) was admitted yesterday following a fall at home. She did not sustain any serious injury but

Post by answerhappygod »

Miss Josepovic (80 year old) was admitted yesterday following a
fall at home. She did not sustain any
serious injury but has been kept in for monitoring, medication
review and further investigations. Her
past medical history is:, Congestive Heart Failure (CHF), mild
renal impairment, hypertension, type 2
diabetes. Since admission she has been diagnosed with Atrial
Fibrillation (AF)
Her medications are: Enalapril 10mg daily, Metformin 1g BD,
Paracetamol 1g prn (max dose 4g in
24hors). She has commenced Dabigatran 150mg BD, Metoprolol 50mg
BD.
Outline the mechanism of action of Dabigatran and Metoprolol and
explain the rationale for
commencing Miss Josepovic on these drugs.
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