SU NSG5003 Week 4 Discussion Latest 2019 April Question # 00600103 Course Code : NSG5003 Subject: Health Care Due on: 04/06/2019 Posted On: 04/06/2019 04:52 AM Tutorials: 1 Rating: 5.0/5
NSG5003 Advanced Pathophysiology
Week 4 Discussion
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?
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