#2 John: Long-Standing Hypertension, Angina, and Heart Failure
Aspirin, which is also referred to as acetylsalicylic acid (ASA) is a commonly used medication to relieve pain, inflammation, or fever. Its importance in the management of hypertension, angina, and Heart Failure cannot be underrated. When administered to a patient immediately after a heart attack, its ability to reduce the risk of death is proven. Besides, evidence shows that its long term use helps prevent further heart attacks, blood clots, and stroke in high-risk patients (Agus et al. 2016). Aspirin is categorized as a nonsteroidal anti-inflammatory drug (NSAID) and therefore functions like any other NSAIDs in addition to suppressing platelets’ normal functions. Low-dose aspirin thins the blood, making it less sticky, which consequently prevents heart attack or stroke. Its effects to relieve fever and pain begin within 30minutes of intake.
However, aspirin use has been associated with a high risk of gastrointestinal bleeding and stomach irritation. The combination of aspirin and other NSAIDs has shown to increase the risk. Given the effect of insulin on the stomach lining, producers recommend patients to seek medical advice before use (Agus et al. 2016). It is highly advised to take aspirin with food to avoid stomach upsets. If stomach irritation persists even while taking aspirin with food, it could be due to ulcers caused by aspirin. Alternatives for aspirins include clopidogrel, which is used to thin the blood and prevent heart attacks and stroke.
Enumerated scales for CV diseases are classification criteria that grade angina depending on severity (Dima et al. 2019). It is a clinical tool that doctors and health professionals use to establish the level of severity, which is subsequently used to develop treatment plans for patients. The classification is also based on other patients’ unique factors like age and the risk of other cardiovascular complications. Class I angina is a low-risk condition, and patients are considered stable and can perform rapid, prolonged, or strenuous activities on their own.
Agus, D. B., Gaudette, É., Goldman, D. P., & Messali, A. (2016). The long-term benefits of increased aspirin use by at-risk Americans aged 50 and older. PloS one, 11(11).
Dima, D., Valiquette, J., Berube‐Dufour, J., & Goldfarb, M. (2019). Level of Function Mobility Scale for Nurse‐Driven Early Mobilization in Patients with Acute Cardiovascular Disease. Journal of Clinical Nursing.
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