{"id":95494,"date":"2022-09-16T09:18:37","date_gmt":"2022-09-16T09:18:37","guid":{"rendered":"https:\/\/assignmenttutors.net\/blog\/mi-nursing-situation-nursing-homework-help\/"},"modified":"2022-09-16T09:18:37","modified_gmt":"2022-09-16T09:18:37","slug":"mi-nursing-situation-nursing-homework-help","status":"publish","type":"post","link":"https:\/\/assignmenttutors.net\/blog\/mi-nursing-situation-nursing-homework-help\/","title":{"rendered":"Mi nursing situation | Nursing homework help"},"content":{"rendered":"
\n

\u00a0\u00a0<\/p>\n

Patient Profile<\/strong><\/p>\n

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.<\/p>\n

Subjective Data<\/strong><\/p>\n

\u2022 \u0095 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<\/p>\n

\u2022 \u0095 Recently the chest pain has become severe and is no longer relieved by rest; is now slightly nauseated<\/p>\n

\u2022 \u0095 His father died of a heart attack at age 62 years<\/p>\n

\u2022 \u0095 Denies alcohol or drug use<\/p>\n

\u2022 \u0095 Smokes one pack of cigarettes per day<\/p>\n

\u2022 \u0095 Describes his lifestyle as sedentary<\/p>\n

Objective Data<\/strong><\/p>\n

Physical Examination<\/strong><\/em><\/p>\n

\u2022 \u0095 Blood pressure 180\/96, pulse 98, temperature 99.8\u00b0F, respirations 20<\/p>\n

\u2022 \u0095 Height 5\u201911\u201d, weight 210 lb, BMI 29.3 kg\/m2<\/p>\n

\u2022 \u0095 Alert and oriented to person, place, and time<\/p>\n

\u2022 \u0095 Skin diaphoretic and clammy<\/p>\n

\u2022 \u0095 Heart rhythm regular, no murmurs or extra heart sounds<\/p>\n

\u2022 \u0095 Lungs are clear to auscultation<\/p>\n

Diagnostic Studies<\/strong><\/em><\/p>\n

\u2022 \u0095 Hemoglobin 14 g\/dL<\/p>\n

\u2022 \u0095 Chemistry panel is normal<\/p>\n

\u2022 \u0095 Cardiac markers \u2013 pending<\/p>\n

\u2022 \u0095 Electrocardiogram showing changes that correlate with non\u2013ST-segment\u2013elevation myocardial infarction (NSTEMI)<\/p>\n

Interprofessional Care<\/strong><\/p>\n

\u2022 \u0095 0.9% NaCl infusing into IV catheter at 75 mL\/hr.<\/p>\n

\u0095 Nitroglycerin and morphine given with relief of pain<\/p>\n

Questions<\/u><\/p>\n

1. What are F.M.\u2019s modifiable risk factors for coronary artery disease (CAD)? What are his nonmodifiable risk factors?<\/p>\n

2. \u00a0What is the difference between chronic stable angina pain and pain associated with myocardial infarction (MI)?<\/p>\n

3. What diagnostic studies are indicated for F.M.?<\/p>\n

Case Study Progression<\/strong><\/p>\n

F.M. is diagnosed as having an MI.<\/p>\n

4. What is the priority nursing care for F.M.?<\/p>\n

5. What other interventions do you anticipate for F.M. at this time?<\/p>\n

6. What are common complications after an MI?<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

\u00a0\u00a0 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 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-95494","post","type-post","status-publish","format-standard","hentry","category-education"],"_links":{"self":[{"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/posts\/95494","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/comments?post=95494"}],"version-history":[{"count":0,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/posts\/95494\/revisions"}],"wp:attachment":[{"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/media?parent=95494"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/categories?post=95494"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/tags?post=95494"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}