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The problems identified in the patient
The patient presented before my clinic suffers from a range of problems. Nose bleeding, hypertension, irregular heartbeat, and bruises are some of the problems experienced by the patient. Moreover, the heart of the patient experience burns, high blood pressure, and congested chest leading to breathing difficulties. Difficulties in breathing are evident from the frequent coughs experienced by the patient. In the words of Rao (2014), chest congestion is one of the factors that evidenced by frequent coughs. It is also apparent that Elliot who is the patient presented before my clinic has a running nose. As such, it is practical that the patient has a range of medical problems.
The precise mechanism action for each drug
Each drug prescribed by the clinic has a significant role in addressing Elliot’s case. Digoxin is very important in the treatment of heart diseases. Irregular heartbeat presented by the patient is manageable through the prescription of Digoxin. Consequently, Cimetidine is a medication that patients can access ‘over the counter’. The main role played by the medication is the prevention of stomach acid secretion. Due to its ability to prevent the secretion of stomach acids, the medication is useful in the treatment of heartburns. On the other hand, Warfarin is essential in the prevention of blood clots. By ensuring that the conversion of fibrinogen from fibrin fails to materialize, the medication plays a pivotal role in minimizing bleeding among patients. Rao (2014) asserts that when fibrin fails to convert to fibrinogen blood clots do not form. As a result, patients are less likely to experience excessive bleeding.
What contributes to a patient’s hypertension
A look at Elliot’s Hgb reveals a high concentration, which is a serious challenge for patients diagnosed with heart complications. Since Hgb is responsible for blood flow and regulation of oxygen supply into the blood, a high concentration can initiate increased chances of irregular heartbeat and hypertension. Said (2014) explains that Hgb concentration requires management when addressing cases of hypertension and heart complications. Therefore, the cause of hypertension presented by the patient could be a resultant of the high Hgb concentration, which exceeds 180 g/l.
Iidentified drug interactions in Elliot’s drug regimen
By observing and checking the various drugs prescribed to the patient, there is a likelihood of an interaction between Cimetidine and Warfarin. Remarkably, the two drugs interact and instigate medical challenges especially among individuals experiencing heart and bleeding problems. The interaction takes place because while Cimetidine prevents secretion of acids in the stomach, Warfarin addresses issues linked to blood clots. For patients to experience effective anticoagulation results of Warfarin, the metabolic processes need to be functional. However, when a patient takes Cimetidine, the body does not release acids, which facilitate metabolic processes in the stomach. Prevented secretion of stomach acids is a phenomenon that impairs the overall anticoagulation effectiveness of Warfarin.
Clinical significance of the drug interactions
The clinical signs associated with the interaction between Warfarin and Cimetidine include nose bleeding and bruises. The case of Elliot presented before the clinic indicates the chances of drug interactions. The bruises and nosebleeds may have become more complex after the patient started using Cimetidine to treat heartburns. It is evident from the diagnosis that the nosebleeds reached 4 times a week before Elliot came to the clinic, an indication that the interaction between Warfarin and Cimetidine may have occurred. The interaction between the two drugs is significant and medical practitioners need to be keen when giving prescriptions to patients who have heart and bleeding problems.
References
Rao, K. (2014). Diagnosis and Management of Chronic Cough due to Extrapulmonary Etiologies. Indian Journal of Clinical Practice, 25(5), 437-442.
Said, K. (2014). Anticoagulation in Pulmonary Arterial Hypertension: Contemporary Data from COMPERA Registry. Global Cardiology Science & Practice, 2014(2), 23-48.
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