You are reviewing medications for an older patient to address polypharmacy concerns. Which of the following is NOT true about polypharmacy?

A 56-year-old female with non-ischemic heart failure and hypertension presents to the office for a routine follow-up. Her last hospitalization for a congestive heart failure (CHF) with HFrEF (reduced ejection fraction) exacerbation was two years ago. She is currently not complaining of shortness of breath, orthopnea, lower leg edema, or chest pain. She has been following a low-salt diet and does not drink alcohol. Medications:  carvedilol, 81 mg asa Home blood pressure measurements have ranged from 140-150/80-90 mmHg Physical exam findings: Blood pressure: 150/90 mmHg Heart rate: 60 beats/minute, S1S2 with no murmurs or gallops Her respiratory rate is 12/minute Her jugular venous pulse and pressure (JVP) is within the normal range and her lungs are clear bilaterally Her point of maximal impulse (PMI) is laterally displaced What medication should you add that can also improve her mortality from heart failure?

Choose the most appropriate vocabulary:When we travel, we always _________________ at the beautiful scenery.

The little children often get into __________in the house, so the mother is upset.

The mystery novels ______________ me.

When they heard that their grandma had died, they ___________________.

Write the correct word in the box below: draft (n), grave (adj), dreaded (v), gloomily (adv), intolerable (adj), intimidate (v),  solitude (n),plague (v),  obsession (n), coax (v) The father told the family ________ that he had lost his job.

Write the correct word in the box below: draft (n), grave (adj), dreaded (v), gloomily (adv), intolerable (adj), intimidate (v),  solitude (n),plague (v),  obsession (n), coax (v) When her family moved to the new area, Anna ____________ coming to school because she didn’t have any friends.

We should never ________ our dreams.  We always need to have hope.

Write the correct word in the box below: draft (n), grave (adj), dreaded (v), gloomily (adv), intolerable (adj), intimidate (v), solitude (n), plague (v),  obsession (n), coax (v) Don’t _____________ him.  He’s not going to lose his job because he made one single mistake.