It is midmorning on the cardiac unit where you work, and you are getting a new patient. is a 60-year- old retired businessman who is married and has…
Question Answered step-by-step It is midmorning on the cardiac unit where you work, and you are getting a new patient.G.P. is a 60-year- old retired businessman who is married and has three grown children. As you take his health history, he tells you that he began feeling changes in his chest about 10 days ago. He has hypertension (HTN) and a 5-year history of angina pectoris. During the past week, he has had frequent episodes of mid-chest discomfort. The chest pain responds to nitroglycerin (NTG), which he has taken sublingually about 8 to 10 times over the past week. During the week, he has also experienced increased fatigue. He states, “I just feel crappy all the time.” A cardiac catheterization done several years ago revealed 50% stenosis of the right coronary artery (RCA) and 50% stenosis of the left anterior descending (LAD) coronary artery. He tells you that both his mother and his father had coronary artery disease (CAD). He is currently taking amlodipine (Norvasc), metoprolol (Lopressor), atorvastatin (Lipitor), and aspirin 81 mg/day.1. What other information are you going to obtain related his episodes of chest pain? Make a list and provide a rationale. For example, When did it start? = onset is essential because…2. What are common sites for radiation of ischemic cardiac pain? List 3. When you first admit G.P., you place him on telemetry and observe his cardiac rhythm. rhythm: Sinus Bradycardia 4. Explain the primary complication that could occur if this heart rhythm were not treated.Review G.P.’s history. What conditions may have contributed to the development of this dysrhythmia?You review G.P.’s laboratory test results and note that all of them are within normal range, including troponin and creatinine phosphokinase (CPK) levels. Given this and his current dysrhythmia, what is the likely cause of the symptoms he has been experiencing this past week?Because G.P.’s dysrhythmia is causing unacceptable symptoms, he is taken to surgery and a permanent DDDR pacemaker is placed and set at a rate of 70 beats/min. The pacemaker insertion surgery places G.P. at risk for several serious complications. List three potential problems that you will monitor for as you care for him.G.P. will need some education regarding his new pacemaker. What information will you give him before he leaves the hospital? Explain the similarities and differences between pacemaker and AICD. What are some precautions for patients with pacemaker and AICD? Health Science Science Nursing 265 NUR 265 Share QuestionEmailCopy link Comments (0)
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