Chest Pain Case Study For Chest Pain

1405 Words3 Pages
bulb-icon

Recommended: Intervention for the treatment of diabetes

Chest Pain
History of present illness: The patient is a 71 year old male of the Veteran Association. His past medical history includes coronary artery disease and chronic obstructive pulmonary disease. The patient was involved in a contraindication at home where he was thrown into a dresser and hit his lower back. Shortly following the incident the police were contacted. During this time the patient consequently began to develop some substernal chest pain with a radiation to the left arm; the patient also became diaphoretic and somewhat out of breath. Emergency medical services (EMS) were contacted. EMS gave the patient aspirin and nitroglycerin and started a saline lock. EMS brought the patient to the emergency department. The patient had …show more content…

All of the other laboratory values were within the normal ranges. The recommended therapeutic range for oral anticoagulant therapy is 2.0-3.0, except for patients with mechanical heart valves and recurrent MI (2.5-3.5). So this patient needs to be put on an anticoagulant therapy since his INR is low at 1.1. As far as the BNP goes knowledge of each individual patient 's BNP range may be more useful that using similar cut-points for every patient. Marked elevation in BNP levels may be observed in states other than left ventricular congestive failure, including: acute coronary syndrome, right heart strain/failure, critical illness, renal failure as well as advanced age (P.R.I.D.E., 2004). Falsely low BNP in congestive heart failure patients may be observed with increasing body-mass index (P.R.I.D.E., …show more content…

The patient no longer had chest pains and it was determined he did not have an acute myocardial infarction at the time. He was released to do a follow up stress test for his heart and encouraged to maintain regular visits with his primary care physician. He was also educated on smoking cessation and diet and exercise. The patent stated "I am 71 years old and I do not plan on changing my habits now."
Conclusion: This patient did not end up having a myocardial infarction. He is at increased risk in the future since he has CAD, HTN, and smokes a pack of cigars a day. Nurses use pathophysiology to understand the progression of disease in order to identify the disease and implement treatment for their patients. Nurses use the information that they find to identify the next course of the disease so that they can provide their patient’s with the appropriate care they need. The medical procedures and medications that nurses administer to patients depend greatly on the nature of the

Show More
Related

  • Uvo Ologboride Case Summary

    379 Words  | 1 Pages

    In July of 2010 in Miami, Florida, Richard Smith, a 79-year-old dialysis patient was admitted to the ICU after a dialysis appointment left him with severe shortness of breath. The following day after being admitted the patient complained of an upset and the doctor had prescribed him an antacid. Uvo Ologboride, the nurse taking care of Mr. Smith, gave him a deadly dose of a drug called pancuronium, which is a drug that induces paralysis, instead of the antacid. 30 minutes later the patient was found unresponsive, but they were able to revive him. Unfortunately when he was revived, he was left brain dead to which did not settle well with his family. When the patient son had came in he had found his father unconscious, unresponsive, and on a respirator. When looking over the chart to try and figure out what happened it had said his dad had just been resuscitated 10 minutes earlier and the nurse had pretty much told him to go and speak with the doctor. Upon speaking to the doctor he was told the nurse had given his dad the wrong medication which lead to his current state of his condition. The nurse was not able to be reached and spoken to about what happened on that fatal day but from what the doctor had explained was the nurse had grabbed a

    Read More

  • Neck Pain Case Summary

    442 Words  | 1 Pages

    The patient has a history of anxiety disorder, depression, diabetes, and hypertension, controlled with medications.

    Read More

  • Colloid Cysts, Physical and Personal Impacts on Patient and Spouse

    1921 Words  | 4 Pages

    The patient is a 45 year old male who was in a car accident that

    Read More

  • Mr Ard Case

    841 Words  | 2 Pages

    On May 20th, the patient, Mr. Ard, experienced nausea, shortness of breath, and pain while being treated in the hospital (Pozgar, 2014). The patient’s wife, Mrs. Ard, attempted many times to reach a nurse by pressing the nurse call button (Pozgar, 2014). Once the nurse finally responded, anti-nausea medication was administered (Pozgar, 2014). Mrs. Ard continued to monitor her husband’s situation, and felt as if the nausea and shortness of breath were getting worse (Pozgar, 2014). Mrs. Ard continued to ring the nurse call button for approximately 1.25 hours prior to a response from a nurse (Pozgar, 2014). A code was called, and Mr. Ard did not survive (Pozgar, 2014).

    Read More

  • Acute Coronary Syndrome Case Study

    301 Words  | 1 Pages

    You could have been treated symptomatically while awaiting test results. Consultation with other healthcare professionals could also have been done in observation. There was no hemodynamic (blood), pulmonary (lung) or metabolic (chemical process) measurement or physical exam result that justified the need for acute inpatient level of care. You could have been kept in observation according to guidelines as there was no electrocardiogram (recording of your heart activity) change and there were no positive biomarker tests (blood tests for the heart) or other finding that would require admission to acute care. Also there was no planned intervention that would have required an acute inpatient level of care. With negative test results for an acute cardiac or other event the member could have been discharged from observation with ambulatory plan of

    Read More

  • COPD Case Study

    1739 Words  | 4 Pages

    ...r illness causes them (). Service users expect respect and sensitivitiy as well as competent treatment and practical support. Nurses must be willing to engage with patients with effective therapeutic communication as well as demonstrating the 6 C’s (). It is evident that nutritional and fluid intake is important for COPD sufferers. It is a long term condition, so enabling people with the condition to self manage and to be educated about the importance of their health choices (By implementing a nursing model or theory and following the cycle of ASPIRE, it would seem impossible for the primary carer to not treat Mr B holistically. Every aspect of his life is affected by his COPD and by evaluating and backing up the care plan with evidence based practice, being in partnership with Mr B every step of the way, he would be able to get the help he needs.

    Read More

  • A Code Rescue Or Rapi Lack Of ICU Nursing

    1234 Words  | 3 Pages

    There are events, subtle or otherwise, leading up to a critical change in health status. As nurses at the bedside, we must have strategies and protocols implemented in order to monitor changes in vital signs and trends leading towards a cardiac, respiratory, or neurologic event. In a hospital setting, patients are monitored for changes in condition, whether it be improvement or deterioration, allowing clinicians to decide the course of action to follow in their care.

    Read More

  • Reducing 30-Day heart failure hospital readmission

    1509 Words  | 4 Pages

    My clinical rotation for NURN 236 is unique in that all patients I care for at Union Memorial Hospital in Baltimore, Maryland have a diagnosis of heart failure (HF). HF occurs when the heart is unable to pump adequate blood supply, resulting in insufficient oxygen and nutrients to the tissues of the body (Smeltzer, Bare, Hinkle, and Cheever, 2012). Approximately 670,000 Americans are diagnosed with HF each year and is the most common hospital discharge diagnosis among the elderly (Simpson, 2014). Moreover, according to the Centers for Medicare and Medicaid Services (CMS), HF is the leading cause of 30-day hospital readmission followed by acute myocardial infarction (AMI) and pneumonia (medicare.gov|Hospital Compare, 2013).

    Read More

  • Myocardial Infarction Case Study

    4095 Words  | 9 Pages

    An electrocardiogram (ECG) is one of the primary assessments concluded on patients who are believed to be suffering from cardiac complications. It involves a series of leads attached to the patient which measure the electrical activity of the heart and can be used to detect abnormalities in the heart function. The ECG is virtually always permanently abnormal after an acute myocardial infarction (Julian, Cowan & Mclenachan, 2005). Julies ECG showed an ST segment elevation which is the earliest indication that a myocardial infarction had in fact taken place. The Resuscitation Council (2006) recommends that clinical staff use a systematic approach when assessing and treating an acutely ill patient. Therefore the ABCDE framework would be used to assess Julie. This stands for airways, breathing, circulation, disability and elimination. On admission to A&E staff introduced themselves to Julie and asked her a series of questions about what had happened to which she responded. As she was able to communicate effectively this indicates that her airways are patent. Julie looked extremely pale and short of breath and frequently complained about a feeling of heaviness which radiated from her chest to her left arm. The nurses sat Julie in an upright in order to assess her breathing. The rate of respiration will vary with age and gender. For a healthy adult, respiratory rate of 12-18 breaths per minute is considered to be normal (Blows, 2001). High rates, and especially increasing rates, are markers of illness and a warning that the patient may suddenly deteriorate. Julie’s respiratory rates were recorded to be 21 breaths per minute and regular which can be described as tachypnoea. Julies chest wall appeared to expand equally and symmetrical on each side with each breath taken. Julies SP02 levels which are an estimation of oxygen

    Read More

  • Nursing Diagnosis

    1434 Words  | 3 Pages

    J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning on urination, and decreased urine output for three days.

    Read More

  • Essentials Of Doctoral Education For Advanced Nursing Practice

    1458 Words  | 3 Pages

    The nurse practitioner (NP) is a registered nurse with graduate education and advanced clinical training. The NP has acquired knowledge and clinical skills to diagnose and treat illness, and provide individualized, evidence-based care to a particular population (Chism, 2013). Throughout the past decades, the responsibilities of the NP have expanded and evolved due to the advances in healthcare. NPs are responsible for understanding the complex life processes of patients and must integrate evidence-based research into clinical practice (American Association of Colleges of Nursing, 2006). NPs focus on meeting the current and the future health needs of the patient population.

    Read More

  • pain

    1144 Words  | 3 Pages

    Toby-Finn, a 21 year-old Caucasian gentleman, is presented to the Emergency Department with a chief complaint of severe abdominal pain. Toby-Finn, who is a full time college student was just discharged three days ago from the Medical Surgical Unit status post laparoscopy appendectomy. Upon arrival to the Emergency Department, Toby-Finn has a computed tomography of the abdomen, and he is diagnosed with Ischemic Necrosis of Small Bowel, and required to go under another abdominal surgery. Toby-Finn was given a total of four milligrams of Morphine Sulfate intravenously, five milligrams of Reglan intravenously, and one liter of Normal Saline intravenously in the Emergency Department. The admitting physician, Dr. Sophie had contacted the surgeon, Dr. Scarlett for emergency surgery. In the meantime, Dr.Sophie had provided a written order for pain management to keep the patient comfortable.

    Read More

  • Case Study Of Myocardial Infarction

    1061 Words  | 3 Pages

    759. Mr. Miller is likely presenting with an acute myocardial infarction. Based on his past medical history of hypertension, hyperlipidemia, obesity, and diabetes, along with his current symptoms of chest pain, shortness of breath, pale skin with beads of sweat on the forehead, as well as elevated lab 's­ Troponin, CK, and CK-MB, he is most likely presenting with an acute myocardial infarction.

    Read More

  • Nursing Care Plan

    10498 Words  | 21 Pages

    Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x 3 and cheerful. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a pleural suction drainage tube inserted in his chest . Pt is extremely thin with poor skin turgor with a diagnosis of cachexia ( wasting) secondary to malnutrition and infection. Patient is no known allergies to drugs but is allergic to aerosol sprays disinfectants and dust.. Advanced directives on chart. Code status DNR. Primary physician Dr. R, Thoracic surgeon Dr. L. Psychology Dr.W. There is PT, OT Dietary and Infectious Disease consults when necessary. He lives with his wife who he has been married to for 56 years. His son and his daughter come to visit him. He does not smoke. He wears dentures but did not bring them. He dose not use a hearing aid but he does have a hearing deficit.

    Read More

  • Reflection of My Experience with Culturally Sensitive Care

    1369 Words  | 3 Pages

    Patient profile: Heterosexual Muslim Woman who has been in the United Stated for three years. She came from Pakistan. She is 42 forty-two years old, from low socioeconomic standing, English language barrier, and is Muslim rituals and practices. She came to emergency department with her husband due to shortness of breathing, high fever, severe cough. She was dignosed with new onset of pneumonia and currently on antibiotic. she also has history of Vitamin D deficiencies and diabetes mellitus type II. She admitted to medical-surgical floor for observation...

    Read More

More about Chest Pain Case Study For Chest Pain

Open Document