Our Services

Get 15% Discount on your First Order

Chest Pain CP is a 64-year-old male who presents to the emergency department (ED) via ambulance for chest pain. He was out shoveling snow from his

May 21, 2024

Chest Pain

CP is a 64-year-old male who presents to the emergency department (ED) via ambulance for chest pain. He was out shoveling snow from his driveway when he developed left anterior chest pain, pressure-type, radiating to his jaw and shoulder. Despite the cold weather, he was sweating. He also noted palpitations and shortness of breath, although he thought it was just because he was “a little out of shape.” He was afraid that something was wrong, so he asked his wife to call 911.

Past Medical History

• Hypertension

• Hyperlipidemia

• Diabetes mellitus

• Gout Medications

• Hydrochlorothiazide, 25 mg once daily

• Allopurinol, 300 mg once daily

Social History

• Retired factory worker

• Smokes one pack of cigarettes per day

• Drinks about six beers per day (sometimes more)

Physical Examination

• Well-developed obese man in moderate distress

• Height: 69 inches; weight: 252 lbs.; blood pressure: 172/110; pulse: 92; respiration rate: 16; temperature: 98.7 °F

• Lungs: Scattered bilateral wheezes

• Heart: Regular with grade II/VI systolic murmur

• Extremities: No edema

Labs and Imaging

• Complete blood count with mild leukocytosis (WBC 12.9k)

• Potassium: Low at 2.9 mEq/L

• Glucose: 252 mg/dL

• Troponin I: 1.7 ng/L

• Uric acid: 11.1 mg/dL

• EKG: ST segment depression with T-wave inversion over lateral leads; no pathologic Q waves Next Steps

• CP’s admitting diagnoses are non-ST segment elevation acute coronary syndrome, hypertension, diabetes mellitus, obesity, alcohol abuse, hyperuricemia, and smoker

Discussion Questions

1. What medications should be instituted for CP?

2. What medications should be continued after discharge?

3. What lifestyle modifications can be recommended for CP?

>Nursing homework help

Share This Post

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

please review the info below This assignment will be submitted to Turnitin. Submit the final revised draft of Essay 1. Remember to review, revise,

please review the info below This assignment will be submitted to Turnitin™. Submit the final revised draft of Essay 1. Remember to review, revise, and check for all errors. Paper must be in MLA format with a Works Cited page and in a Word document.

Answer one of the two discussion questions: 1) Develop five specific policies and procedures you feel would be important to include in an employee

Answer one of the two discussion questions: 1) Develop five specific policies and procedures you feel would be important to include in an employee manual. Make sure you thoroughly explain each procedure and policy. 2) How would you handle a sexual harassment complaint in a sport facility?

Purpose: The trend analysis requires you to further investigate a topic and organizational problem identified in assignment one. You will examine the

Purpose: The trend analysis requires you to further investigate a topic and organizational problem identified in assignment one. You will examine the alternative solutions, and propose the most effective solution using supporting evidence. The trend analysis is based on a specific topic and the problem(s) that surround it from the

ACFI3310 Assignment 1 (Bankruptcy) Frequently Asked Questions Beaver/Altman Should I calculate a cut-off point

ACFI3310 Assignment 1 (Bankruptcy) Frequently Asked Questions Beaver/Altman Should I calculate a cut-off point for Beaver? It would take a large piece of analysis to do this and it’s certainly not required. Whilst it would impress, it might not be the best use of your time. Do I need to

Description Q1-Consider having the following reference string: 6 9 9 0 1 2 2 11 3 6 1 0 6 8 1 2 6 Use FIFO, OPT, LRU page replacement algorithms and

Description Q1-Consider having the following reference string: 6 9 9 0 1 2 2 11 3 6 1 0 6 8 1 2 6 Use FIFO, OPT, LRU page replacement algorithms and compare between them based on page faults, knowing that 4 pages can be in memory at a time

Describe the policy implementation and operational processes and hospital’s role in promoting high quality care (e.g., obtaining informed

Describe the policy implementation and operational processes and hospital’s role in promoting high quality care (e.g., obtaining informed consent.) Submission Instructions: Initial Post: If your last name starts with the letter A through M, you will submit your initial posts to DQ 7.1. If your last name starts with the letter

Angel Accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools 100 Washington Avenue South, Suite 900,

Angel Accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools 100 Washington Avenue South, Suite 900, Minneapolis, MN 55401 www.waldenu.edu College of Social and Behavioral Sciences School of Counseling Counseling Masters’ Programs [email protected] CLINICAL MENTAL HEALTH COUNSELING MARRIAGE, COUPLES, FAMILY COUNSELING CASE CONCEPTUALIZATION FORM

Describe the Sun Coast data using the descriptive statistics tools discussed in the unit lesson. Establish whether assumptions are met to use parametric

Describe the Sun Coast data using the descriptive statistics tools discussed in the unit lesson. Establish whether assumptions are met to use parametric statistical procedures. Repeat the tasks below for each tab in the Sun Coast research study data set. Utilize the Unit IV Scholarly Activity template. You will utilize

Continue to work on your Literature Review (what you started in Milestone #6). If you have finished the body sections of your review, this draft should

Continue to work on your Literature Review (what you started in Milestone #6). If you have finished the body sections of your review, this draft should include a sample of your Introduction and Purpose and Conclusion sections. If you are not yet done with the body, this milestone should build on the body before

Description ID 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 ‫وقت

Description ID 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 ‫وقت البدء‬ 45354.9695 45362.93837 45374.93472 45375.08156 45375.89267 45412.73367 45413.75647 45346.0864 45354.9695 45362.93837 45374.93472 45375.08156 45341.91969 45341.9238 45341.92441 45341.93899 45341.94353 45341.94031 45360.84997

Hands-on Ethics Essay Students will apply moral theories to write a 4-page essay that answers the question of whether we should help people who are

Hands-on Ethics Essay Students will apply moral theories to write a 4-page essay that answers the question of whether we should help people who are suffering from hunger and poverty in the world. Demonstrate your mastery of the lessons covered in this course by completing a hands-on ethics essay. Make

Instructions are attached · Reply Posts should read approximately 200 words in APA format, including any citations · APA format, in-text citations

Instructions are attached · Reply Posts should read approximately 200 words in APA format, including any citations · APA format, in-text citations and references Peer: Lori The rise in the number of soldiers with PTSD can be because of a multitude of reasons. We must take into account the psychological

DISCUSSION RESPONSES Epidemiological Study Designs in the Media Epidemiology

DISCUSSION RESPONSES Epidemiological Study Designs in the Media Epidemiology Post a response to the following: · Briefly summarize the study you found, and then include the citations for both the mass media and the peer-reviewed articles. · Explain what epidemiological concepts are included in the mass media article (e.g., measures

True Crime” Podcasts Assignment The “true crime” podcast is the newest sensation sweeping the nation. Investigative journalists and entertainers alike flex

True Crime” Podcasts Assignment The “true crime” podcast is the newest sensation sweeping the nation. Investigative journalists and entertainers alike flex their powers of deduction and guide their listeners on a riveting journey of drama and intrigue. The subject discusses real cases from the past or cold cases that deserved

First, create an outline or concept map that summarizes your communication plan for a significant organizational change or event. Consider the following

First, create an outline or concept map that summarizes your communication plan for a significant organizational change or event. Consider the following examples: a new company branding initiative; the restructuring of a team, department or business unit; a company-wide community service project; the transition of an executive leader; an emergency

In your own words can you explain the importance of different interventions during the initial assessment of your patient. Please provide at least 750 words.