Case Study Reflection on Patient with Myocardial Ischemia

Running head: REFLECTION SIMULATION
Case Study Reflection
Name of Student
Name of University
Author Note

1REFLECTION SIMULATION
Reporting
During my practical, I was a part of the simulation for a patient Mr. Harry Bright, who
was admitted to my ward after angioplasty surgery. He had a history of unstable angina and
reported chest pain. The patient is a 65-year-old male who has a medical history of hypertension
for over ten years, type two diabetes, which is properly controlled using diet and
hypercholesterolemia, for which he takes drugs. After the surgery monitoring showed that, the
patient had developed myocardial ischemia. The sheath was removed and nitroglycerine was
given to him to relax his cardiac muscles and calm the chest ache. The patient smokes twenty
cigarette sticks per day (Boerma et al., 2010).
Responding
I found that the blood pressure is 150/90mmHg, which is quite high. The temperature of the
patient is normal and the dissolved oxygen level is 98%, for that I had nothing to worry. The
blood glucose level was 10.7mmol/L. the patient’s height was 175cm, the weight was 100 kg,
which I thought reflected that the person is obese according to his BMI report, which is 37. The
chest x-ray report showed that the patient is having obstructive air entry. I did not observer any
crepes or crackles in the lungs.
Relating
I checked the vitals, which showed he needed pain management and we provided him with
nitroglycerine to reduce the pain score (Boerma et al., 2010). The patient showed hypertensive
conditions for which I provided metropol for reducing chest pain and increase blood circulation.
I advised to patient to take metformin for dieting and controlling his weight. I advised the patient