Case Study, Cardiovascular Disorders Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning 1.Explain the rationales for the laboratory tests and ECG stress test. 2. What should the nurse do to prepare for the cardiac catheterization that is scheduled?

Case Study, Cardiovascular Disorders Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning 1.Explain the rationales for the laboratory tests and ECG stress test. 2. What should the nurse do to prepare for the cardiac catheterization that is scheduled?

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter9: Surgical Pharmacology And Anesthesia

Section: Chapter Questions

Problem 5CS

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Case Study, Cardiovascular Disorders Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning 3. According to Mrs. Gonzales’ medical history, what has contributed to her myocardial infarction? 4. What should the nurse anticipate doing to prepare Mrs. Gonzales to be discharged?
Case study diabetes mellitus Eric is a 52-year-old High school principal, who presented with a 2-week history of polyuria, polydipsia, polyphagia, weight loss, fatigue, and blurred vision. A random glucose test performed 1 day before presentation was 352 mg/dl. The patient denied any symptoms of numbness, tingling in hands or feet, dysuria, chest pain, cough or fevers. He had no prior history of diabetes and no family history of diabetes. Admission of non-fasting serum glucose 248 mg/dl (N=<180 mg/dl), HbA1c 9.6% (N=4-6.1%). Electrolytes, BUN and creatinine were normal. Physical examination revealed weight of 180 pounds, height 5'5.5" (IBW 140-145). The rest of the examination was unremarkable,i.e., no signs of retinopathy or neuropathy. The patient was taught self-monitoring of blood glucose and began on 5 mg glyburide once a day. He was instructed in diet (1800 cal ADA). Blood glucose levels ranged from 80 to120 mg/dl within 2 weeks of starting glyburide, his symptoms…
Case study: Mr. James McDougal, age 68 years old was admitted on July 1st, 2020 with a diagnosis of congestive heart failure, diabetes type 2, hyperlipidemia, hypertension, and cellulitis of his left calf. A central line was placed based on Mr. McDougal’s poor vascular status. Current Medications: Allergies: Aspirin 325 mg po daily Penicillin & Sulfa Digoxin (Lanoxin®) 0.125 mg po daily Carvedilol (Coreg®) 25 mg bid Furosemide (Lasix®) 40 mg bid Lisinopril (Zestril®) 5 mg po bid Simvastatin (Zocor®) 40 mg qhs Glyburide (Micronase®) 2.5 mg daily The physician orders are as follows: Admit patient to service of Dr. Monka and cardiac telemetry floor for cardiac monitoring. Out of bed with assistance Oxygen via nasal canula @ 2 L 2000-gram ADA diet Central line dressing as per hospital protocol Lactated Ringers 1000 cc to run over 8 hours via central…
Case Study 3 – Congestive Heart Failure Dottie is a 78-year old CHF patient. She has been exercising with your facility for several years now. She had a CABGx3 in 2020. She came in today with a 5 lb. weight gain since yesterday when she weighed on her home scale this morning. Her meds include- Lipitor, Procardia, and Lasix. (Cholesterol, Calcium channel blocker Hypertension, and Diuretic, respectively) Her blood pressure is 132/88 and her HR = 102; Her weight is 196, up from 191 when last measured. She is a pleasant, overweight individual who enjoys walking on the treadmill and visiting with other members of your facility. 1. What are specific considerations for someone with CHF and exercise? How is the exercise prescription any different from the apparently healthy adult prescription? 2. What is your biggest concern with Dottie today and how would you handle this concern(s)?
Case Scenerio A.B. is a retired 69-year-old man with a 5-year history of type 2 diabetes. Although he was diagnosed in 2015, he had symptoms indicating hyperglycemia for 2 years before diagnosis. He had fasting blood glucose records indicating values of 118–127 mg/dl, which were described to him as indicative of “borderline diabetes.” He also remembered past episodes of nocturia associated with fast foods- pizzas and KFC. At the time of initial diagnosis, he was advised to lose weight (“at least 10 lb.”), but no further action was taken. Referred by his family physician to the diabetes specialty clinic, A.B. presents with recent weight gain, suboptimal diabetes control, and foot pain. He has been trying to lose weight and increase his exercise for the past 6 months without success. He had been started on glyburide (Diabeta), 2.5 mg every morning, but had stopped taking it because of dizziness, often accompanied by sweating and a feeling of mild agitation, in the late afternoon. He…
Case Study: Jason is a 52-year-old Asian American male visiting his doctor for a routine exam. He works as a warehouse manager and mentions that his job is very stressful. He also states that he wishes he could be more physically active during the day. Questions: 1. In addition to weight, name 4 other risk factors that increase the likelihood of a person developing cardiovascular disease. Explain.
Case Study An 80-year old woman was admitted with a diagnosis of hypertension, congestive heart failure, anemia, possible diabetes, and chronic renal failure. She was treated with diuretics, and IV fluids and released 4 days later. Her laboratory results are below: Five months later, she was readmitted for treatment of repeated bouts of dyspnea. She was placed on a special diet and medication to control her hypertension and was discharged. Medical staff believed that she had not been taking her medication as prescribed, and she was counseled regarding the importance of regular doses. First Admission Second Admission 2/11 2/15 7/26 7/26 Urea N(mg/dL) 58 * * 61 Creatinine(mg/dL) 6.2 6.2…
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CASE STUDY: Nelson Amoah, 54-year-old male presents to the emergency department with abdominal pain, nausea, vomiting, abdominal distension and constipation which started 3 days prior to presentation. He denied fever, chills and headache. Except for peptic ulcer disease, he is otherwise healthy with no previous surgeries. He is a smoker, smoking a little less than a pack a day for twenty-two years. On examination he was afebrile, with a heart rate of 120 beats/min, blood pressure 130/80 mmHg and respiratory rate of 22 cycles/min. Abdominal examination revealed mild distension with generalized guarding and marked rebound tenderness in the epigastrium. There were no palpable masses and bowel sounds were absent. Erect and supine abdominal and chest radiographs were normal. However, abdominal ultrasonography revealed free fluid throughout the abdomen and pelvis. a. State at least FIVE questions that you would ask in analyzing Mr. Amoah’s pain b. Identify all;…
Case Study 4 – Peripheral Artery Disease Sherman is a 63-year old patient who has Peripheral Arterial Disease. He is coming to Phase III Cardiac Rehab after completing Phase II from a myocardial infarction. He has a stent placement to his Right Coronary Artery as of 5/14/21 and during the past three months in rehab, it was discovered he also has some Peripheral Arterial disease (he complained of burning, pain in his left calf that started with walking on the treadmill and was relieved when he stopped). His physician performed studies on him and decided he needs to continue exercise with your site’s supervision. His medications are: daily aspirin and Norvasc State what you will use to determine his exercise intensity. What type of exercise will you recommend? Use the FITT principle for PAD patients to guide you and state what precautions, considerations you will need to be aware of. What will be your ultimate goal for him?
Case Study: A 52 year-year old man with a history of AIDS, hypertension, diabetes mellitus, and alcohol abuse was found unconscious in his home by his roommate. In the emergency department, he was hypotensive (103/60 mm Hg), febrile (temperature 101F), and unresponsive. Computed tomoggraphy scan of the abdomen showed choleccystitis and gallstones. Laboratory data are listed. The patient was diagnosed with acute renal failure. He was administered intravenous fluids; BUN fell to 68 mg/dL and creatinine fell to 2.2 mg/dL. The patients blood culture report was positive for e. coli. He was treated with tobramycin and cefepime. The patient continued to deteriorate and died 5 days after admission. Cause of death was multiorgan failure secondary to AIDS, sepsis, and alcoholic cirrhosis. DATA TABLE Drugs of Abuse Negative Urinalysis Serum ethanol 84mg/dL Hemoglobin Positive…