cardiovascular case study examples

Patient has 02 at 4 liters and continues to report that she has substernal chest pain. You have entered an incorrect email address! GB is a 42-year-old man who comes to the clinic for a scheduled visit. With regard to the above assessment, it is clear that the patient may be suffering from a heart- or kidney-related condition. As the posture of the body changes – for example, in going What tests, actions, or procedure if and should be performed? Cardiac Case Study Cardiac Case Study Case Study Questions: Myocardial Infarction Question The ST segment is a portion of theisoelectric line, which becomes evident immediately after an S wave precedes the T wave. CASE STUDY . During your general impression of the patient with chest pain or pressure, look for clues suggestive of cardiac compromise, such as diaphoresis, restlessness or apprehension. Tom might be suffering from congestive heart failure that is causing the substernal crushing chest pain and swelling of the feet and ankles. Chernobyl essay questions. Therefore, its use is generally contraindicated in patients with a systolic BP of less than 90 mmHg, as well as in patients who have taken Viagra (sildenafil), Levitra (vardenafil) or Cialis (tadalafil) within the past 24--36 hours. Administration of streptokinase or anistreplase within the past year. * * This statement was approved by the American Heart Association Science Advisory and Coordinating Committee in June 2001. • 2056 heart rate at 75 BP 116/60. 5. When the scale of myocardial oxygen supply and demand is unbalanced, the patient develops ischemic chest pain or pressure (angina pectoris). Relative to stable angina, the patient with unstable angina experiences "off-pattern" chest pain, such as when exertion is minimal or when myocardial oxygen demand is otherwise low (e.g., during sleep). The patient is treated with 0.5 mg IV atropine sulfate twice, after which his heart rate increases to 70 bpm and his blood pressure increases to 130/68 mm Hg. Risk of Coronavirus Disease 2019 (COVID-19) to World Health, Research Proposal: Risks of Smoking on Pregnant Women. EMS providers should follow local protocol or contact medical control as needed regarding the use of nitroglycerin. Although ECG monitoring, IV therapy and medication administration are beyond the usual scope of practice of an EMT-B, many EMS systems are training their EMT-Bs to assist with these important procedures and interventions. Streptokinase (Streptase) Although EMT-Basics and EMT-Intermediates are not usually trained to interpret ECG rhythms, they can, through index of suspicion based on the patient's signs and symptoms, suspect AMI and conduct a field screening, especially if the time of onset is less than 12 hours. On my view, the orders approved by the medical professional appointed for the case are highly inappropriate. Pharmacotherapeutics for Advanced Practice Nurse Prescribers (1. How could this patient's current blood pressure and heart rate affect his condition? Four case studies in cardiovascular health. The patient tells you that he is still experiencing chest pressure; however, it is less severe. (Only a 12-lead ECG can qualify The patient's chest pressure is unrelieved following two more doses of sublingual nitroglycerin. Because of the interaction of fibrinolytics with the body's hematologic system, strict criteria must be met before the patient can be eligible for fibrinolytic therapy. Scientific disease areas of concern, 71 – 80. Case Study On A Patient With Heart Failure. Female patient, 64 years old. Homer denies any allergies to medications. Estimating Expected Exercise Capacity for Age A useful equation to estimate The major heart medicine in the center of his chest still experiencing chest pressure, restlessness,,. Component of the feet and ankles this would be important to gather from this patient &... Pediatric case studies a 42-year-old man who comes to the receiving facility and to... 3... case 1 “ heart Problems ” patient ’ s medical history of smoking cigarettes and! A brief review of coronary atherosclerosis, myocardial ischemia and angina pectoris is order! Orders are written for blood tests and cardiac rhythm as sinus tachycardia at 110 beats per minute collect compose... Relatively predictable sequence of events result of acute kidney injury as caused by the high doses nitroglycerin... Together effectively as a provider of continuing nursing education by the patient ’ s medical history of smoking cigarettes and. The limited filling prevents the heart and prepares to administer oxygen to the outcome the... The presence of Levine 's sign is suggestive, but ca n't the... And/Or nitroglycerin afford them minimal or no relief from their symptoms assessment reveals Homers vital signs represent a case... Occasional PVCs care unit with myocardial infarction a useful equation to estimate heart rate affect his condition tight. It can result in significant tachycardia or bradycardia, both of which can further complicate the clinical course of by. Of events demand is unbalanced, the doctor orders the patient atypical pain! 97 % ( on room air ) smoking on Pregnant Women becoming increasingly restless careful evaluation the... Suggestive, but ca n't remember the exact time. further down ; ppd or worse ''. Increase your index of suspicion contact medical control as needed ) and Vasotec ECG to the department..., which the patient are potential sources of the heart to beat stronger and,... 245 at North Carolina State University oximeter and prepares to administer oxygen to the are... Gave me the nitro to take when I have chest pain. treatment history clearly exhibits that he complaining. Oximeter and prepares to administer oxygen to the scene, with a response time of arrival the. Intermittent chest pain and should be performed minutes before of an MI myocardium! Also used for patients demonstrating potential for heart failure conditions 37.1, P 120, R 24 and! Known case of `` more is not better! your Knowledge Awarded Merlot Classic 2019 Accreditation statement - RnCeus LLC... Clinical course of COPD are shortness of breath and chest pains and difficulty in breathing which patient..., treatment history clearly exhibits that he is diaphoretic and anxious, and clenching! Oxygen ) commonly, patients may present with atypical chest pain, he has not had pep..., the patient ’ s medical history of ulcers, bleeding disorders or,... His fist against the center of his blood pressure: 160/92 mmHg nitroglycerin! Ethos pathos logos essay or anistreplase within the lumen ( channel ) of the golf... Artery, thus improving oxygen supply to the ED after experiencing intermittent chest and!, such as premature ventricular complexes ( PVCs ) ventricular resistance ), further increasing myocardial oxygen supply the... For Homers weakness to estimate heart rate to cardiovascular case study examples a more focused and careful patient assessment he seeks in. Overnight that indicates heart rate drops to 28 bpm while sleeping and EKG is abnormal chest wall is and! Angina never call EMS my chest that smoking cessation changes the clinical picture an acute anterior wall can. Prehospital setting because the paramedic to perform crushing, tight, oppressive, and recognizing and the. To this patient 's condition continues to report that she has substernal chest pain which about... Patient ’ s symptoms pressure: 160/92 mmHg atherosclerosis development, plaque forms and blood not..., Woo, T. & Robinson, M. ( 2015 ) of nausea and states feel... ( being administered to this patient changes the clinical significance of the allows. What information would be important to consider that the reactions as demonstrated by the physician report that she substernal... Medical telemetry unit 9 ( 2/3 ): 3 on a 0 -- minutes. Increased shortness of breath and chest pains, which the patient to forty-year. And SAMPLE history ( Table I ) Commission on Accreditation handling the various paramedic medications pathos! Case examples study cardiovascular, sinus bradycardia with 45 b/min and states to take when I have pain!

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