Case Year Male Assignment Help: How to Answer This Question

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Original Question

(A.) Case 1: A 57-year-old male tricycle driver from Pasay City, presented to the emergency department of Manila Doctors Hospital with a 20-minute episode of diaphoresis and chest pain. The chest pain was central, radiating to the left arm and crushing in nature. The pain settled promptly following 300 mg aspirin orally and 0.3 mg nitroglycerin tablet sublingually administered by paramedics in the community. He smoked 20 cigarettes daily (38 pack years) but was not aware of any other cardiovascular risk factors. On examination he appeared comfortable and was able to complete sentences fully. There were no heart murmurs present on cardiac auscultation. Blood pressure was 180/105 mmHg, heart rate was 83 bpm and regular, oxygen saturation was 97% Specific Questions: What are the pertinent data in the history and physical examination What are the immediate nursing interventions that need to be done in this case What are the possible diagnostic examinations (B.) The doctors order ECG, and order the following drugs, Simvastatin 40 mg, Clopidogrel 300 mcg, GTN 500 mcg, Enalapril 2.5 mg Specific Questions What is the mechanism of action of the drugs listed What are the nursing considerations in giving the medications? (C.) 30 minutes later the patient’s chest pain returned with greater intensity whilst waiting in the emergency department. Now, he described the pain as though “an elephant is sitting on his chest”. As a nurse you had already done an ECG. Specific Questions: What are the basic findings in the ECG Describe the procedure in doing the ECG

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