,The patient was started on Prevacid 30 mg daily, levothyroxine 75 mcg a day, Toprol 25 mg twice a day, Zofran 4 mg q.6 h, Coumadin dose at 5 mg and was adjusted. 
,The patient was started on Prevacid 30 mg daily , levothyroxine 75 mcg a day , Toprol 25 mg twice a day , Zofran 4 mg q.6 h , Coumadin dose at 5 mg and was adjusted .