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Medical-Surgical Nursing Assignment

   

Added on  2021-06-17

9 Pages2038 Words47 Views
Running head: MEDICAL SURGICAL NURSINGMedical surgical NursingName of the student:Name of the university:Author note:

1MEDICAL SURGICAL NURSINGTable of ContentsQuestion 1:.......................................................................................................................................2Question 2:.......................................................................................................................................3Question 3:.......................................................................................................................................3Question 4:.......................................................................................................................................4Question 5:.......................................................................................................................................5Question 6:.......................................................................................................................................5References:......................................................................................................................................7

2MEDICAL SURGICAL NURSINGQuestion 1: Mr Fischy, the patient is the case study has represented in the care facility with symptomsof cardiac congestion and related disorders. The past medical history of the patient revealed thathe had been a patient of hypertension and angina pectoris for close to 6 months. The patientassessment data regarding the patent reveals that he had been awoken multiple times during thenight feeling acute chest pain for which he had already taken nitroglycerin sublingually 9 to 11times in the past week. Researchers are of the opinion that persistent angina is a grave healthconcern for the elderly patients. As Mr Fischy had been a 65 year old man, the age also couldhave contributed effectively contribute to possible myocardial infarction and congestive cardiacfailure. It has to be mentioned in this context that the patient had cardiac catheterizationperformed in the past and it was discovered that he had 50% of his right coronary artery andabout 50% of his left anterior descending coronary artery to be completely occluded. Accordingto the Fan et al. (2016), both of the arteries play profound and crucial roles in maintaining thepulmonary circulation burden management on the heart. Coronary blockage has been attributedto be the key contributing factor to incidences of myocardial infarction and congestive heartfailure. Hence, the first concern for the patient will be the arterial blockage that the patient(Katzung and Chatterjee 2012). It has to be mentioned that blocked arteries that are left untreatedcan lead to plaque rupturing due to artheosclerosis and can heighten the probability of heartattack. First and foremost I will increase the dosage of aspirin for the patient which will inhibitblood clot formation by reducing the adhesive nature of the platelets. along with that I wouldalso administer beta blockers and ACE inhibitors to reduce the risk of myocardial infarction. Thepatient has stated that he had been experiencing acute pain in chest, especially in the night whichhad woken him multiple times in the middle of night and had urged him to take nitroglycerin.

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