Further Developments

Transthoracic echocardiography shows a left ventricular ejection fraction of 35%. Dr. McPhee reviews the results with Mr. Green and explains that these findings are consistent with heart failure. Mr. Green’s HbA1c is 8.2%. He arranges follow‑up with cardiology for guideline‑directed medical therapy and with endocrinology to coordinate diabetes management. Dr McPhee reinforces daily medication adherence and regular follow-ups.

At the cardiology visit, the cardiologist explains that, over the next few weeks, several medications will be started and titrated to treat Mr Green’s heart failure. He adds that one of the new drugs will also be beneficial for Mr. Green’s type 2 diabetes and has been shown to have positive effects on cardiovascular outcomes.

Which medication is the most appropriate choice that benefits both heart failure and type 2 diabetes for Mr. Green?

  • Insulin detemir
  • Semaglutide
  • Sitagliptin
  • Dapagliflozin
End Session and View Feedback
  • Ακουολογικός έλεγχος [undo]
  • Prophase, prometaphase, metaphase, anaphase, telophase [undo]
  • Call consultant [undo]
  • Stop the infusion and change prescription [undo]
  • Decidimos fazer um bazar de caridade. [undo]
  • Learning Point [undo]
  • Genotipo y Fenotipo [undo]
  • ΑΠΟΤΕΛΕΣΜΑΤΑ ΒΙΟΧΗΜΙΚΩΝ ΕΞΕΤΑΣΕΩΝ [undo]
  • Υποτασική αιμόσταση [undo]
  • Do a Lumbar puncture and an Electro-encephalogram [undo]
  • Increase rate to 10nanograms/kg/min [undo]
  • Learning Point [undo]
  • Give Paracetamol, observe for 6 hours then review [undo]
  • Virtual Patient Scenario: Maria's Telemonitoring Empowerment Journey [undo]
  • Ανοικτή προστατεκτομή [undo]
  • Ei syödä [undo]
  • The time is limited [undo]
  • antibiotics – diuretics – bili and discharge [undo]
  • Consider if ocular assessment is needed or not: [undo]
  • Thrombotic thrombocytopenic purpura (TTP) [undo]
  • Assess the situation to identify any potential risks to yourself or the victim. Secure the victim with the help of a third party. [undo]
  • On the left edge of the sternum in the 4th intercostal space [undo]
  • Exacerbation of asthma [undo]
  • steroids – diuretics – bili and discharge [undo]
  • Sugere irmos ao banco pedir dinheiro. [undo]
  • Un microscop care folosește o sursă de electroni pentru a mări obiectele [undo]
  • Κλινική ΩΡΛ εξέταση [undo]
  • Further Developments [undo]
  • antibiotics – diuretics – bili and discuss [undo]
  • Αναστολείς των α-αδρενεργικών υποδοχέων (a-blockers) [undo]
  • Φυτικά εκχυλίσματα [undo]
  • Continue taking metformin as prescribed [undo]
  • Διουρηθρική προστατεκτομή [undo]
  • Відпочити та зменшити навантаження. [undo]
  • Further Developments [undo]

Map: Michael Green_GEMD_2 (1116)
Node: 21133
Score:

reset

OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Continúa considerando el movimiento del agua
  • Ακουολογικός έλεγχος
  • Prophase, prometaphase, metaphase, anaphase, telophase
  • Call consultant
  • Stop the infusion and change prescription
  • Decidimos fazer um bazar de caridade.
  • Learning Point
  • Genotipo y Fenotipo
  • ΑΠΟΤΕΛΕΣΜΑΤΑ ΒΙΟΧΗΜΙΚΩΝ ΕΞΕΤΑΣΕΩΝ
  • Υποτασική αιμόσταση
  • Do a Lumbar puncture and an Electro-encephalogram
  • Increase rate to 10nanograms/kg/min
  • Learning Point
  • Give Paracetamol, observe for 6 hours then review
  • Virtual Patient Scenario: Maria's Telemonitoring Empowerment Journey
  • Ανοικτή προστατεκτομή
  • Ei syödä
  • The time is limited
  • antibiotics – diuretics – bili and discharge
  • Consider if ocular assessment is needed or not:
  • Thrombotic thrombocytopenic purpura (TTP)
  • Assess the situation to identify any potential risks to yourself or the victim. Secure the victim with the help of a third party.
  • On the left edge of the sternum in the 4th intercostal space
  • Exacerbation of asthma
  • steroids – diuretics – bili and discharge
  • Sugere irmos ao banco pedir dinheiro.
  • Un microscop care folosește o sursă de electroni pentru a mări obiectele
  • Κλινική ΩΡΛ εξέταση
  • Further Developments
  • antibiotics – diuretics – bili and discuss
  • Αναστολείς των α-αδρενεργικών υποδοχέων (a-blockers)
  • Φυτικά εκχυλίσματα
  • Continue taking metformin as prescribed
  • Διουρηθρική προστατεκτομή
  • Відпочити та зменшити навантаження.
  • Further Developments

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