15 Feb Do you see any risk factors that might have contribute to Alexanders MI?2. What is normal blood pressure, and heart rate?3. Is th
Alexander is a 55-year-old carpenter who arrived at our clinic complaining of nausea, shortness of breath, chest and abdominal pain, and left neck pain. Supplemental oxygen was administered along with an electrocardiogram. EKG results displays an elevation on ST segment on leads V1-V6 that is interpreted as anterior wall myocardial infarction (STEMI) along with cardiac blood markers results that indicate increase in troponin 1, and creatine kinase (CK-MB).
Administration of nonenteric-coated chewable aspirin was given along with nitroglycerin, morphine for pain, lidocaine to prevent ventricular arrythmia, clopidogrel to break down clots (fibrinolytic) and heparin to prevent further clot formation.
Family history indicates hypercholesterolemia, diabetes, heart disease, hypertension, diabetes, and depression. Social history and lifestyle choices indicate recent divorce, new residence, full-time employment, drinking four cups of coffee daily, social drinking twice a week, and walking on weekends.
Vital signs:
BP: 180/98
T: 98.1 F
RR: 16 p/m
HR: 100 bpm
Pain: patient stated 9 in 1-10 pain scale
Comprehensive Metabolic Panel:
Glucose: 250 mg/dl
Calcium: 9mg/dl
Albumin: 4.4 g/dL
Total Protein: 7mg/dl
Sodium: 140 mEq/L
Potassium: 4.2 mEq/L
Bicarbonate (CO2): 23mEq/L
BUN: 7mg/dl
Creatinine: 1.2 mg/dl
Alanine amino transferase (ALT): 20 U/L
Aspartate Amino transferase (AST): 30 U/L
Bilirubin: 1mg/dl
Lipid Panel
Total cholesterol: 300 mg/dl
LDL:300 mg/dl
HDL:40 mg.dl
Triglycerides: 450 mg/dl
Patient was prepped and taken to CATH Lab. Catherization displayed 90 % occlusion of LAD coronary artery. PCTA was performed and bare-metal stent was placed. Revascularization was successful.
Review the following case and answer the questions that follow. Collaborate with other classmates. Be sure to ask them questions that will help to keep the conversation going. You may need to do some outside research but put your answers in your own words.
1. Do you see any risk factors that might have contribute to Alexander’s MI?
2. What is normal blood pressure, and heart rate?
3. Is there anything abnormal in the CMP? Could it contribute to heart disease?
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.