Final answer:
Lanoxin is contraindicated in this patient with COPD, A-fib, and pulmonary hypertension.
Step-by-step explanation:
Based on the information provided, the medication that is contraindicated in this patient is Lanoxin.
Lanoxin, also known as digoxin, is a medication commonly used to treat heart failure and certain arrhythmias. However, it is contraindicated in patients with pulmonary hypertension as it can worsen their condition.
Since the patient in question has a PMHX of COPD and pulmonary hypertension, Lanoxin should not be used in her case.
Albuterol is a bronchodilator used to treat breathing difficulties in patients with COPD and asthma, and sildenafil is a medication used to treat pulmonary hypertension. T
hese medications are appropriate for the patient given her medical history.