A 58 year female arrives at the emergency department complaining of chest discomfort.
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February 25, 2021A 58 year female arrives at the emergency department complaining of chest discomfort.
A 58 year female arrives at the emergency department complaining of chest discomfort.
A 58 year female arrives at the emergency department complaining of chest discomfort. The discomfort began 1 hour during breakfast.she described this discomfort as dull and pressure like. She has mild central chest discomfort, with radiation to her left arm and left jaw.she feels slightly short of breath. The patient has diabetes and hypertension and takes hydrochlorothiazide and glyburide.her blood pressure is 150/100mmhg, pulse rate is 95bpm and regular, respirations are 22 breaths per minute, temperature 37.3 degree Celsius., and oxygen saturation by pulse oximetry is 98% on room air.the patient is diaphoretic and appears anxious. On auscultation, faint crackles are heard at both lung bases.the cardiac examination reveals an s3 gallop and is otherwise normal. On examination she has no other abnormalities, she has had no other cardiac events. The ECG showed inferior STEMI. Assignment focus 1. Critically discuss the pathogenesis of coronary artery disease including the key issues of this disease at cellular level. 2. Discuss the significance of risk factors for this patient’s presentation in relation to thisdisease process and the relationship between the risk factors and the development of this disease process. 3.based on the case study information and the 12 lead ECG, critically analyse the current nursing and interdisciplinary assessment (for example medical assessment) and diagnosis for this patient’s presentation. 4. Critically analyse and discuss the key issues related to an acute cardiac presentation and assessment. Include in this section, critical analysis of the use of current acute chest pain management algorithms or pathways(please check the Australian national heart foundation website
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