The purpose of this assessment is to provide you with the opportunity to demonstrate your understanding of the content and readings for the subject and apply this theory to practice by way of a case analysis.
Work through the case study and answer the questions provided. Please note: You are encouraged to read both parts of this assessment (Part A & Part B) prior to commencement to minimise the risk of any repetition.
Case study
Mr Ben Long is a 58-year-old truck driver who presents to the emergency department with a two-hour history of chest pain.
History of presenting illness
Ben describes his pain as central and crushing, radiating to his left arm, associated with shortness of breath, nausea and diaphoresis. This awoke him at 3 a.m. Ben is a 25 pack years, smoker and consumes five to ten beers a week at the local club, he is not on any regular medication, he is 163 cm tall and weighs approximately 78 kg.
Initial Assessment
Ben is pale, appears anxious and his vital signs reveal:
Heart rate………..90 beats per minute
Blood pressure…..140/90 mmHg
Respiratory rate… 22 per minute
SpO2……………..98% on 6 L/minute oxygen via a face mask (93% on room air)
Ben rates his chest pain at 9/10
A 12-lead ECG is performed and it is determined that Ben has experienced an Anterolateral MI (STEMI), with inferior
reciprocal changes. (no Q waves evident).
The ECG performed on Ben is available by clicking here Ben Long’s ECG
Question 1 ( 250 words)
Taking Ben’s diagnosis into consideration discuss the following:
the coronary vessel/vessels involved
myocardium and conduction system at risk
potential complications.
After medical review of Ben, and since angiography is not an immediate option, the doctor orders:
Continuation of oxygen
Aspirin and Clopridogrel
Intravenous morphine
Fibrinolytic therapy
Heparin
Question 2 (750 words)
Considering Ben’s current clinical condition, history and ECG, analyse and evaluate the above treatment against available evidence in the current literature. Include in your answer:
actions, dose and appropriateness of each drug
the available options for fibrinolytic therapy
nursing management of the patient related to the administration of these drugs
On going patient status:
PLACE THIS ORDER OR A SIMILAR ORDER WITH NURSING TERM PAPERS TODAY AND GET AN AMAZING DISCOUNT
