Medicine

July 26th, 2020

Adverse Effects of Drugs IV

A 75-year-old man comes to the physician because of a 6-month history of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, and peripheral edema. He has type 2 diabetes mellitus, hypertension, dyslipidemia, atrial fibrillation, and past ischemic stroke. Medications include ramipril, diltiazem, apixaban, rosuvastatin and metformin/empagliflozin. Pulmonary examination shows crackles at both lung bases. There is pitting edema of the lower legs and ankles. An echocardiogram shows an ejection fraction of 35%. Which of the following medications should be stopped in this patient?

Want to continue practicing?

Subscribe to Clinical Odyssey today.
  • Enjoy unlimited access to 600+ learning modules.
  • Safely improve your skills, anytime and anywhere.
  • Get answers to your follow-up questions from practicing physicians.
Learn more ➜