9. A clinical pharmacy consult is requested for an 80-year-old Caucasian man with NYHA Class III heart failure to optimize his therapy before discharge. He has already been successfully diuresed and placed on an oral diuretic. His ejection fraction is 20%, systolic/diastolic blood pressure is 165/94 mm Hg, and heart rate is 93 bpm. His current regimen includes lisinopril 40 mg once daily, furosemide 20 mg once daily, and immediate-release metoprolol tartrate 25 mg twice daily, all of which are taken orally. Which of the following changes to this patient’s regimen increase the likelihood of the best outcome? A. Start digoxin 0.125 mg orally once daily B. Start diltiazem CD 120 mg orally once daily C. Stop metoprolol tartrate and start metoprolol succinate XL 75 mg orally once daily D. Stop lisinopril and start candesartan 4 mg orally once daily
Posted on: Sat, 01 Nov 2014 16:35:32 +0000
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