A 58-year-old arrives too weak to climb his stairs, with a heart that feels 'wrong'.
58-year-old manED, bed 9Fictitious educational patient
Type 2 diabetesHypertensionCKD (baseline Cr 130)
Day 0 · 09:10
Arrival
Triage note: two days of progressive weakness, worse this morning, with palpitations. Known type 2 diabetes and hypertension. Medications: ramipril, metformin, and naproxen started last week for knee pain.
Vitals
HR54BP104/62RR18SpO297%T36.6
Before any results return, which medication combination on this list should already worry you?