MI Nursing Situation

  

Patient Profile

F.M. is a 68-year-old white man who comes to the emergency department (ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. The pain increased during the night, but his wife could not convince him to go to the hospital. He comes to the ED today because the pain is severe and no longer relieved by rest.

Subjective Data

• • Describes recurring chest pain for the past 6 months that was relieved by rest; the pain is a feeling of heaviness in chest with no radiating pain to arm or jaw or accompanying nausea or dizziness

• • Recently the chest pain has become severe and is no longer relieved by rest; is now slightly nauseated

• • His father died of a heart attack at age 62 years

• • Denies alcohol or drug use

• • Smokes one pack of cigarettes per day

• • Describes his lifestyle as sedentary

Objective Data

Physical Examination

• • Blood pressure 180/96, pulse 98, temperature 99.8°F, respirations 20

• • Height 5’11”, weight 210 lb, BMI 29.3 kg/m2

• • Alert and oriented to person, place, and time

• • Skin diaphoretic and clammy

• • Heart rhythm regular, no murmurs or extra heart sounds

• • Lungs are clear to auscultation

Diagnostic Studies

• • Hemoglobin 14 g/dL

• • Chemistry panel is normal

• • Cardiac markers – pending

• • Electrocardiogram showing changes that correlate with non–ST-segment–elevation myocardial infarction (NSTEMI)

Interprofessional Care

• • 0.9% NaCl infusing into IV catheter at 75 mL/hr.

• Nitroglycerin and morphine given with relief of pain

Questions

1. What are F.M.’s modifiable risk factors for coronary artery disease (CAD)? What are his nonmodifiable risk factors?

2.  What is the difference between chronic stable angina pain and pain associated with myocardial infarction (MI)?

3. What diagnostic studies are indicated for F.M.?

Case Study Progression

F.M. is diagnosed as having an MI.

4. What is the priority nursing care for F.M.?

5. What other interventions do you anticipate for F.M. at this time?

6. What are common complications after an MI?

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more