How to Answer Patient Profile Year Questions (Complete Guide)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to patient profile year and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves patient profile year. A strong answer should include explanation, application, and examples.
Original Question
Patient Profile D.M., a 51-year-old, white, successful executive, is rushed to the hospital by ambulance after experiencing crushing substernal chest pain that radiates down his left arm. He also complains of dizziness and nausea. Subjective Data •Has a history of unstable angina and hypertension •Overweight but recently lost 10 pounds •Rarely exercises •Has three teenage children who are causing “problems” •Recently experienced loss of best friend and business partner, who died from cancer Objective Data •Diaphoretic, short of breath, nauseous •BP 165/100 mm Hg, pulse rate 120/min, respiratory rate 26/min Diagnostic Studies •12-lead ECG shows sinus tachycardia with ST elevation in leads II, III, aVF, V5, V6 with occasional premature ventricular contractions •Cardiac-specific troponin I level elevated •Cholesterol 350 mg/dL (9.1 mmol/L) Collaborative Care: Emergency Department •Oxygen 2 L/min via nasal cannula, titrate to keep O2 saturation above 93% •Continuous ECG monitoring •Aspirin 325 mg (chewable) •Weight-based heparin IV •Nitroglycerin IV, titrate to relieve chest pain; hold for systolic BP below 100 mm Hg •Morphine 2 to 4 mg IV q5min PRN for chest pain unrelieved by nitroglycerin •Vital signs, pulse oximetry every 10 minutes •Preparation of patient for transfer to cardiac catheterization laboratory for possible Percutaneous transluminal coronary angioplasty (PTCA). Discussion Questions 1. Which coronary artery(ies) is (are) most likely occluded in D.M.’s coronary circulation? 2. Explain the pathogenesis of CAD. What risk factors contribute to its development? What risk factors were present in D.M.’s life? 3. What is angina? How does unstable angina differ from myocardial infarction? 4. Explain the significance of the results of the laboratory tests and the 12-lead ECG findings. 5. Provide a rationale for each treatment measure ordered for D.M. 6. Based on the assessment data presented, what are the priority nursing diagnoses? 7. What are the priority nursing interventions for D.M. immediately after his MI? Immediately after his PTCA? 8. Identify activities that can be delegated to unlicensed assistive personnel (UAP). 9. Two days after an uncomplicated PTCA and the placement of two stents, D.M. wants to know what the most effective strategies are to prevent another MI. Based on his clinical situation, what would you tell him?
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