Mr Gulyas is a 49-year-old Hungarian man who presents to the emergency department with central chest pain.

Mr Gulyas is a 49-year-old Hungarian man who presents to the emergency department with central chest pain.

Mr Gulyas is a 49-year-old Hungarian man who presents to the emergency department with central chest pain. He has no personal history of coronary artery disease or myocardial infarction, and no known family history of atherosclerotic heart disease. Mr Gulyas states he has associated symptoms of nausea, diaphoresis, and pain radiating to both shoulders and down his left arm. When asked to rate his pain, he states his pain score is 10 out of 10. When questioned about his social history, he states he smokes cigarettes (15 per day), works as a computer programmer in an office, and does very little exercise.

Mr Gulyas is pale and clammy. He is afebrile, with a blood pressure of 106/62 mm Hg, a regular pulse of 68bpm, a respiratory rate of 18 breaths/min, andan oxygen saturation of 96% while breathing room air. An ECG reveals an acute ST elevation myocardial infarction (STEMI). His Troponin I result is 2.4. The plan for Mr Gulyas is to admit him to the cardiac ward for monitoring and thrombolysis. Mr Gulyas is anxious and feels guilty about his lifestyle that he considers has contributed to his admission today.

1. Risk Factors and Health Promotion

What are the factors that may have contributed to Mr Gulyas’s myocardial infarction? Outline how you would approach Mr Gulyas regarding these and what health promotion information and referral you would provide to him. (500 words)

Activities of Living

PLACE THIS ORDER OR A SIMILAR ORDER WITH NURSING TERM PAPERS TODAY AND GET AN AMAZING DISCOUNT