What risk factors are specific to Mr. Campbell?

What risk factors are specific to Mr. Campbell?
May 2, 2020 Comments Off on What risk factors are specific to Mr. Campbell? Uncategorized Assignment-help
Words: 410
Pages: 2
Subject: Uncategorized

Mandatory reference: 1. By Linda D. Urden, Kathleen M. Stacy and Mary E. Lough, Phdcritical care nursing, diagnosis and management, 8th edition2. (Aehlert, B. 2018. ECGs Made Easy, 6th editionCase PresentationOn Arrival to the Emergency Department Mr. Denzel Campbell is a 48-year-old, (260lb) male that began having chest discomfort at home approximately one hour ago. The chest discomfort was unrelieved by sublingual nitro sprays. Hi wife immediately drove him to the Emergency Department where he presented with `pressure` midsternally that radiated down his left arm and through to his back. On admission Mr. Campbell was pale, diaphoretic and SOB. He denied nausea or vomiting. Further questions revealed that over the last few weeks, he has been having frequent episodes of chest discomfort upon exertion that was relieved by rest.Past Medical HistoryMr. Campbell has a history of diabetes mellitus that is controlled by diet. He reports smoking two packs of cigarettes daily for30 years. His father died of lung cancer two years ago. His mother, who has hypertension, lives with him, and his wife and their two teenage sons. On assessment, Mr. Campbell has normal S1 and S2. Lungs are clear. No edema is present and bowel sounds are normal. No jugular venous distension is noted.Vital SignsBP 140/98 mm HgHR 94 bpm and regularRespirations30 breaths/minuteTemperature 36.8° CSaO292% with oxygen 2L/min via nasal cannulaBlood work was drawn and an ECG done. Mr. Campbell was diagnosed with an ST segment elevation MI (STEMI).Labs•Hg149 g/L•WBC 8 x109/L•Glucose 9.5 mmol/L•K+ 3.7 mmol/L•Troponin I 5.8 mcg/LCase Study Questions1.What are the risk factors for myocardial infarction? What risk factors are specific to Mr. Campbell? ( 4marks)2.What are the nursing priorities and interventionsfor a patient diagnosed with STEMI?Please ensure that you relate the priorities to Mr. Campbell`s situation. Include the following in your discussion and the rationale for each priority/intervention. Please use the following table for criteria below. You may use bullet points. (20 marks)a.Patient assessmentb.Medicationsc.Laboratory and Diagnostic Tests d.Medical and Nursing Interventionse.Patient TeachingCriteriaPrioritiesRationalea.Patient Assessmentb.Medicationsc.Lab and Diagnostic Testsd.Medical and Nursing Interventionse.Patient Teaching3.Interpret the following cardiac rhythm using the 8 step systematic approach for cardiac rhythm interpretation. ( 8 marks)4. Interpret the following ECG using the 8 step systematic approach for ECGs interpretation(rhythm, axis, R wave progression/transition, voltage, BBB, hypertrophy, location and stage) (8 marks)4.Discuss percutaneous coronary intervention and reperfusion drugs. Explore the appropriateness of each for Mr. Campbell. (8 marks)