Carl Shapiro is a 54-year old man who has presented to the Emergency Department with dull chest pain. He has a history of hypertension and is a smoker. Question: Reflecting on this scenario, what would you do the same, and why?
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Carl Shapiro is a 54-year old man who has presented to the Emergency Department
with dull chest pain. He has a history of hypertension and is a smoker.
Question: Reflecting on this scenario, what would you do the same, and why?
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- You are a pharmacist working in the cardiac ward of a hospital where Mr. Smith (48 years) was admitted to the hospital seven days ago with a diagnosis of myocardial infarction (MI). He has a history of hypertension and hyperlipidemia but no previous psychiatric history. Mr. Smith reports occasional worry about his health, especially his heart condition. He sometimes experiences restlessness, muscle tension, and difficulty falling asleep. Upon assessment, his GAD-7 score was 11 (on a scale of 0-21). He sleeps approximately eight hours in the night. Mr. Smith is asking to add a sleeping pill to his current medication list. As a pharmacist, which initial management option do you suggest for the anxiety and sleep complaints of the patient? lease answer this at your own easy words. Answer should be to the point (Specific)..You are a pharmacist working in the cardiac ward of a hospital where Mr. Smith (48 years) was admitted to the hospital seven days ago with a diagnosis of myocardial infarction (MI). He has a history of hypertension and hyperlipidemia but no previous psychiatric history. Mr. Smith reports occasional worry about his health, especially his heart condition. He sometimes experiences restlessness, muscle tension, and difficulty falling asleep. Upon assessment, his GAD-7 score was 11 (on a scale of 0-21). He sleeps approximately eight hours in the night. Mr. Smith is asking to add a sleeping pill to his current medication list. As a pharmacist, which initial management option do you suggest for the anxiety and sleep complaints of the patient? Please answer this at your own easy words. Answer should be to the point (Specific).Ms. Cruz, 45-year-old vendor is diagnosed with hypertension, and her attendingphysician prescribes clonidine to be given sublingual as necessary for BP160/90 mm Hg and above. The patient is concerned about this drug on howit is given as instructed above. She states, “How will this medication helpcontrol my blood pressure?” How should you (as a nurse) respond to the question of Ms. Cruz? What information would you (as a nurse) need to include when doing healtheducation about this drug?
- Ron is a 56-year-old male with a history of T1DM and hypertension. After assessment, He is suspected of DKA. Ron’s vital signs are: Blood pressure 90/50 mmHg Heart rate 124 beats/min Respiratory rate 36 and deep Temperature 38.5 C (Tympanic) Are these vital signs within the normal range for a patient of Ron’s age and medical history? If not, why not. Discuss your rationale.A 40-year-old patient comes to the ER complaining of severe pain in his left thigh which started three days prior. On physical examination, his thigh is red, warm, and swollen. His vitals were: Temperature 101F, Pulse 95 beats per minute, regular, 2+, Blood pressure left arm sitting 129/85 mm Hg, Respiratory rate 20 breaths per minute. Which of the following is the best interpretation of the vitals? Answers A - E A All the vital are elevated B Tachycardia, tachypnoea, and fever. Blood pressure is normal. C D All the vitals are normal. Normal pulse, respiratory rate and blood pressure. Temperature reflects a fever. E Blood pressure is elevated and the temperature reflects a fever. Other vitals are normal.BW, 45-year-old vendor is diagnosed with hypertension, and her attending physician prescribes clonidine to be given sublingual as necessary for BP 160/90 mm Hg and above. The patient is concerned about this drug on how it is given as instructed above. She states, “How will this medication help control my blood pressure?” How should you (as a nurse) respond to the question of Ms. BW? What information would you (as a nurse) need to include when doing health education about this drug?
- Patient Henry is 69 years old he has History of presenting illness: Shortness of breath, heartbeat racing, swelling in ankles and feet. He was smoking before and he quit after a heart attack. He drinks beer now and then. Lost his father to heart attack and mom to stroke. Using the video from Episode 3 on Henry, compare and contrast the difference between, right, left, and biventricular heart failure. Explain why Henry had right-sided heart failure. ******Please correlate your responses to Henry’s case.While taking the exam, you noticed your classmate rapidly breathing, uneasy, sweating, and pale, stiffening of fingers and verbalizes of fainting. You suspect that your classmate is hyperventilating. What first aid can I do?George is a 45-year-old man with a diagnosis of schizophrenia. He lives with his 71-year-old mother who provides his meals and washes his clothes. George has recently changed medication to an Atypical anti-psychotic and has gained over 8 kg in the last 6 months. He has recently complained of chest pain and breathlessness. a.Explain your understanding of the Cardiac system? b.Explain why George’s mental and physical health may impact on each other and why this is important to consider? c. What interventions would you suggest(please provide a rationale)?
- Dooly, a 52-year-old male client, is taking a cardiac medication, amiodarone (Cordarone), for atrial fibrillation. The cardiologist ordered pulmonary function tests (PFTs) because a serious side effect of the medication, pulmonary fibrosis, can lead to a decreased function in the lungs. The client had reported noticing an increased shortness of breath with activities over the past several months. The client has never had a PFT before. The LPN/LVN needs to prepare the client for this procedure.(Learning Objective 8)a. What preparation is necessary before the diagnostic test?b. What nursing care is needed for the client going for PFT?ohn, an overweight 49-year-old man with history of diabetes and hypertension is playing soccer. After half an hour of an intense game, he feels severe chest pain that travels to his lower jaw. He is pale, diaphoretic, and short in breath. Upon arrival to the ER, an ECG was taken and the results show the following (note the changes in leads II, III and aVF): What could be the possible reason for John’s chest pain? Explain your answer based on the clinical information.A 68-year-old male is admitted to the hospital for emphysema. He is hypoxic and his lab tests reveal low oxygen levels. His hematocrit is 65%. The physician has told him that he has a type of polycythemia in which he has an increased number of erythrocytes circulating in his bloodstream. The patient tells the nurse that he does not understand what that means. How would the nurse explain this in terms the patient could understand? Also mention the different types of Polycythemia. How the severe polycythemia treated . What is the meaning of artificial Polycythemia ?