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A patient with hypertension ,that has been taking hydrochlorothiazide for a year with no improvement. Had an ekg of her heart ,which showed an ejection fraction of 55-60%.is it standard practice to prescribe a regimen of metoprolol er ,hydrochloric ,amlodipine ,losartan ,clopidogrel, and nitroquick ,after going to the hospital with symptoms of hypoxemia?
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1.amlodepine, losartan and hctz are antihypertensives. 2.metoprolol is usually added for cardioprotection (there must be an ecg abnormality). 3. Nitroquick is to relieve anginal chest pain. 4. Ejection fraction is slightly on the lower side for a young adult. Can be normal for an old person. 5. Clopidogrel is a anti platelet drug. If you can forward me the details of the patient - age, sex, height, weight, ecg picture and echo report - I ll be able to advice you on the treatment. Mostly the patient has ischaemic heart disease. But I do need the above mentioned details.
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