SOLVED3024

A 65-year-old male with a history of coronary artery disease, paroxysmal atrial fibrillation, and diastolic congestive heart failure was recently seen by his primary care provider for depression and started on fluoxetine. His routine medications include aspirin, atorvastatin, lisinopril, metoprolol, and amiodarone. At a follow-up visit, his EKG reveals sinus bradycardia with a heart rate of 59 beats/min and QT interval of 610 msec. The patient denies any cardiac symptoms. What is the appropriate management at this time? A. Continue the current medication regimen B. Discuss with the patient your concerns regarding drug-drug interactions and discontinue fluoxetine C. Discontinue lisinopril D. Stop the metoprolol due to bradycardia
SCIENCE
HEALTH SCIENCE
NURSING

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