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Mr Abel 51 year old is rushed to the hospital after experiencing crushing substernal chest pain that radiates down his left arm. He also complains of dizziness and nausea. He has a history of chronic stable angina and hypertension and states that he is borderline diabetic. he is overweight but recently lost 10 pounds rarely exercises and has three teenage children who are causing problem he has recently experienced a loss of a best friend and business partner upon physical examination he is diaphorectic and has shortness of breath his BP is 165/100 mmHg pulse rate120 resp rate 26 his ECG SHOWS occasional ventricular contractions An St elevations, his cardiac specific troponin level is elevated, his cholesterol level is 9 1 mm/L his A1C level is 9% He has been diagnosed with inferior lateral wall MI His orders are; oxygen 2litres/min per via nasal cannula to keep 02 saturation greater than 93%. continue monitoring ECG ASA 325 MG chewable heparin Nitroglycerin hold if blood pressure less than 100systolic morphine 2 to 4 mg PRN for chest pain metoprolol questions 1) which coronary arteries are probably occluded? 2) Explain briefly the pathogenesis of coronary artery disease 3) what is angina? How does angina differ from myocardial infarction? 4) what risk factors contributed to CAD and what risk factors are present in Mr Abel’s life 5)what are the pathophysiological basis for the clinical manifestations he is exhibiting 6) what are the significance of his test results 7) what are the rationale for each treatment measures ordered for him 8) what are the priority nursing interventions immediately after his MI
SCIENCE
HEALTH SCIENCE
NURSING
HEALTHCARE 101

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