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

Assignment: TEXTBOOK INFO: 1. Chapter 9: Harvard’s Growing Power and Profile in The innovative

Assignment: TEXTBOOK INFO: 1. Chapter 9: Harvard’s Growing Power and Profile in The innovative university: Changing the DNA of higher education from the inside out. 2. Chapter 10: Staying Rooted in The innovative university: Changing the DNA of higher education from the inside out. White paper opportunity: The tension between

A Friend of the Pod Journal and Paper More and more information is becoming available via podcasts. This assignment is designed

A Friend of the Pod Journal and Paper More and more information is becoming available via podcasts. This assignment is designed to help you become more familiar with this source of information. Choose any podcast that you currently do not listen to that talks about some aspect of multiculturalism. This

Please follow the Unit VII project template to complete assignment & refer to the Course Project Guidance document for help. Include the following sections

Please follow the Unit VII project template to complete assignment & refer to the Course Project Guidance document for help. Include the following sections in your submission: Title Page- Table of Contents & Executive Summary Introduction- Background of Business Dilemma Statement of the Problem(s) Purpose of the Study Research Questions

help 1 LTEA 120C Hong Kong Films HongKong Cinema Through a Global Lens Spring 2024 Comparative Analysis Please write a well-organized essay of

help 1 LTEA 120C Hong Kong Films HongKong Cinema Through a Global Lens Spring 2024 Comparative Analysis Please write a well-organized essay of about 800-1000 words that presents a clear argument and comparative analysis of two primary sources. Please focus on doing a close comparative reading of two Hong Kong

MKT 501 Strategic Marketing Discussion: Marketing A Start-Up (Part 1 ) Launching the Business and its Website Throughout the class, you will develop a

MKT 501 Strategic Marketing Discussion: Marketing A Start-Up (Part 1 ) Launching the Business and its Website Throughout the class, you will develop a comprehensive marketing strategy for your US-ba

Suppose that a certain basketball superstar has a 73.1% free throw percentage (that is, they make 73.1% of the free throws they attempt). Assume free

Suppose that a certain basketball superstar has a 73.1% free throw percentage (that is, they make 73.1% of the free throws they attempt). Assume free throw shots are independent from each other.If the basketball player is about to shoot 8 free throws, what is the probability that they miss at least 1 free throw shot? Give your answer rounded to four

See attachment below. · How does culture influence cross-border M&A activity? Illustrate this relationship using examples, either real

See attachment below. · How does culture influence cross-border M&A activity? Illustrate this relationship using examples, either real (even anecdotal if you have any) or conceptual. How do similar and dissimilar cultures affect pre- and post-merger performance?

2-2 Short Paper: Teratogens=dev. psych) In the resources for Module Two, you reviewed a significant level of biological information for its impacts

2-2 Short Paper: Teratogens=dev. psych) In the resources for Module Two, you reviewed a significant level of biological information for its impacts on development. In this short paper, you will select a teratogen and identify the risks that it presents to healthy development. You will construct a position, backed by

Continue composing this section of your final project, which includes addressing additional research methods. – Identify the data analysis methods

Continue composing this section of your final project, which includes addressing additional research methods. – Identify the data analysis methods used and explain why the methods are appropriate based on the research question. – Discuss the potential weaknesses of the data analysis methods used. Support your discussion with examples from

Description ‫المملكة العربية السعودية‬ ‫وزارة التعليم‬ ‫الجامعة السعودية اإللكترونية‬ Kingdom of Saudi Arabia Ministry of Education Saudi

Description ‫المملكة العربية السعودية‬ ‫وزارة التعليم‬ ‫الجامعة السعودية اإللكترونية‬ Kingdom of Saudi Arabia Ministry of Education Saudi Electronic University College of Administrative and Financial Sciences Assignment Three MGT211 (2ndTerm 2023-2024) Due Date: 04/05/2024 @ 23:59 Course Name: HR Management Student’s Name: Course Code: MGT211 Student’s ID Number: S Semester: Second

A project manager is assigned to lead a digital marketing software project. Some stakeholders don’t support the project, and others want the entire

A project manager is assigned to lead a digital marketing software project. Some stakeholders don’t support the project, and others want the entire project to be planned out before it starts. The sponsor, on the other hand, is looking for a quick win to get the support of the majority

HISTOGRAM Different parts of the world have experienced catastrophic droughts over the past 10 years. Imagine you are studying the amount of rainfall

HISTOGRAM Different parts of the world have experienced catastrophic droughts over the past 10 years. Imagine you are studying the amount of rainfall received over a set period of time in order to help an area find solutions during times of water shortage. You might collect data on rainfall

Topics 1. The Risks of Poor Succession Planning Programs and ways to Mitigate – June 26 Your (3-paragraph) DISCUSSION SECTION (W. 10)

Topics 1. The Risks of Poor Succession Planning Programs and ways to Mitigate – June 26 Your (3-paragraph) DISCUSSION SECTION (W. 10) 1. Top of Form THIS IS PART OF YOUR FINAL EXAM! · YOU MUST CHECK YOUR SIMILARITY prior to submission. Any academic dishonesty will result in a zero. USE YOUR

Assignment Overview Communication Effective communication boosts productivity, fosters teamwork, reduces

Assignment Overview Communication Effective communication boosts productivity, fosters teamwork, reduces misunderstandings, drives employee engagement, and improves decision-making to build a successful workplace culture. **Complete SLP 3 before Case 3** Session Long Project 3 Resources 13 Strategies For Breaking Down Silos And Boosting Interdepartmental Communication (2023) How to Improve Cross-Functional Communication

To Prepare: · Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).

To Prepare: · Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA). · Consider who benefits the most when policy is developed and in the context of policy implementation. LEARNING RESOURCES · Short, N. M. (2022). Milstead’s health policy and politics: A nurse’s guide (7th ed.).

You must complete Annotated Bibliographies for six of your sources (total). Last week, you turned in the first three Annotated Bibliographies. This week you

You must complete Annotated Bibliographies for six of your sources (total). Last week, you turned in the first three Annotated Bibliographies. This week you turn in the second three Annotated Bibliog

Description Some arrangements And add PRISMA Table 1: General Characteristics of the Included Studies Table 3 JBI Assessment Master of Quality

Description Some arrangements And add PRISMA Table 1: General Characteristics of the Included Studies Table 3 JBI Assessment Master of Quality Management & Patient Safety HQS 590 Capstone Health Informatics Impact on Patient Safety and Care in Saudi Arabia A Research Project Submitted in Partial fulfillment of the Requirements for