Mr. F comes into the ED c/o chest pain. He states, “That it began…

Question Answered step-by-step Mr. F comes into the ED c/o chest pain. He states, “That it began… Mr.  F comes into the ED c/o chest pain.  He states, “That it began suddenly, and it woke me from my sleep. My chest feels very tight and I feel really weak. This pressure in my chest is constant. Nothing that I do makes it better or worse. The pressure stays in my chest. I don’t hurt anywhere else.” “I have high blood pressure and the doctor told me I may have a heart attack if I don’t start exercising. He gave me the nitro to take when I have chest pain and I have taken 3 pills and my chest still hurts” Data Collection:Pt. is conscious and alert to person, place, and time; restless and anxious. Airway is patent. Oxygen saturation: 97% (on room air). Radial pulse: 112 beats/min, strong and rapid, skin is cool, clammy, and pale. Severity of pain: 7 on a 0–10 scale. Time of onset: “This began about an hour ago.” Chest exam: No sign of trauma, chest wall is symmetrical and non-tender.Breath sounds: Clear and equal bilaterally to auscultation.Jugular veins: Normal, not distended. Blood pressure: 160/92 mmHg.Respirations: 22 breaths/min and unlabored.Pt. is restless, diaphoretic, tachycardic, hypertension.Allergies: None. He is not allergic to aspirin.Medications: Nitroglycerin (as needed) and Vasotec. He has not taken any Viagra. 1. What are the effects of nitroglycerin and how should it be taken?2. Should a baby aspirin be given.? Give the rationale for your answer.3. What is the classification of Vasotec and what are the nursing implications?4. What is a fibrinolytic (clot-buster) therapy? What are the common fibrinolytic agents?  Is Mr.  F a candidate for this therapy? Give a rationale for your answer.5. Does taking Viagra change the decision in giving a fibrinolytic agent? Give a rationale for your answer. Health Science Science Nursing BASIC PHATMACOLOGY FOR NURSE 101 Share QuestionEmailCopy link Comments (0)

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