Lily Jones is a 72-year-old woman who lives with her husband. Last week she saw her general practitionerLily Jones is a 72-year-old woman who lives with her husband.
Lily Jones is a 72-year-old woman who lives with her husband. Last week she saw her general practitionerLily Jones is a 72-year-old woman who lives with her husband. Last week she saw her general practitioner (GP) for a check-up, after experiencing several episodes of chest discomfort upon exertion during the past couple of weeks. Lily reported that she has been using her sublingual spray more frequently. An electrocardiograph was performed by the GP and was unchanged from previous visits.Her past medical history includes: Ex smoker – 20 pack years Type II diabetes – managed with oral hypoglycaemic agent. Last HbA1c was 12 Hypertension HypercholesterolaemiaLily insisted on going home from the GP visit to rest. She agreed to call an ambulance if her condition got worse.Question 1Describe how each of Lily’s risk factors is significant in contributing to the pathophysiological changes associated with cardiovascular heart disease. (10 marks)During the night Lily awoke with difficulty breathing and central chest heaviness. Her husband called an ambulance and she was taken to the emergency department. On route to hospital, Lily is administered Oxygen 6 litres via a face mask because her oxygen saturation was less than 93%. An intravenous cannula was inserted in her right arm and she was administered 5mg of Morphine intravenously.Lily arrives at the emergency department and you are the nurse caring for Lily. You perform your clinical assessment upon arrival to hospital and on examination Lily is dyspnoeic and is complaining of central chest discomfort. An urgent electrocardiogram is performed (see attached).
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