cardiovascular case study

 

 

 

Respond to the question using the lessons and vocabulary found in the readings. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow APA format for writing style, spelling and grammar, and citation of sources.

 

Cardiovascular Case Study

John is a 76-year-old man with a long history of stable angina and hypertension. He is prescribed nitroglycerin tablets as needed for chest pain and lisinopril for his hypertension. John has noticed that his chest pain is occurring with increasing frequency and less activity is required to initiate the symptoms; however, the pain subsides quickly with rest and one or two nitroglycerin tablets.

John is awakened from sleep with chest pain and shortness of breath. The pain is much more severe than his usual anginal pain and radiates to the jaw and the left arm. He experienced some nausea and became diaphoretic and pale. Upon admission to the local emergency department, he was noted to have significant ST-segment elevation on a 12-lead electrocardiogram (ECG).

Discussion Questions:

1. What diagnosis is consistent with John’s history and physical exam?

2. Please differentiate between a STEMI and Non-STEMI.

3. What are the pathophysiological findings specifying an MI?

4.What are the differences between angina, silent ischemia, and myocardial ischemia?

5.Provide a description of the three factors associated with Sudden Cardiac Death.

6.What are the possible complications post-MI might the NP be aware of when caring for John?

 

 

NOTE

Reference should be between year 2015 downward.Also please make use of this textbook

McCance K., L., & Huether, S., E. (2018). Pathophysiology: The Biologic Basis for Disease in Adults and Children(8th ed.) St Louis, MO: Mosby Inc; ISBN-13: 978-0323583473

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