G.S. is a 57 yo male patient who presents to the ER with complaints…
Question Answered step-by-step G.S. is a 57 yo male patient who presents to the ER with complaints… G.S. is a 57 yo male patient who presents to the ER with complaints of chest pain. He describes the pain as substernal tightness that is radiating to his jaw and down his left arm. Initially his pain was a constant 9/10 until EMS administered 3 doses of SL nitroglycerine, after which his pain came down to a 7/10. EMS then administered 2mg of IV morphine and 325mg of aspirin PO. A 12 lead ECG performed by EMS revealed ST elevation in leads V1-V6 and a second ECG done in the ER shows persistent ST elevation. His health history includes only a diagnosis of hypertension. G.S. is a farmer/rancher in a rural community and does not regularly follow up with any physician. The only medication he takes is lisinopril 10mg PO daily and a daily multivitamin. Labs were drawn at the time of the second ECG, but have not resulted and the cath lab team has been notified.You are working in the ER getting G.S. ready for cardiac catheterization and you are performing a baseline assessment. You are trying to assess pedal pulses, but you are having a hard time finding them in either extremity. Name one reason a patient suffering from an acute MI might have diminished pulses in his or her extremities. What tool could be used to assess pedal pulses if they cannot be palpated manually? Just before the patient leaves for the cath lab, his labs result and you notice the following abnormal lab values: · Troponin: 0.25· CRP:15· CK: 300· CK-MB: 152· BNP: 564Which lab value is most significant in confirming the diagnosis of acute MI, and how will that lab value change over the next 24 hours? Health Science Science Nursing NURSING 324 Share QuestionEmailCopy link Comments (0)
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