NURS 3001: Mr. Flight's Chest Pain Case Study Analysis

This case study analyzes the case of Mr. Flight, a 73-year-old patient admitted to a cardiac ward with chest pain. The assignment requires the identification of actual and potential problems based on the provided scenario, including ST elevation in anterior leads and relevant vital signs. It also necessitates providing rationales for these problems, considering conditions like pericarditis, myocarditis, and variant angina. Furthermore, the case study demands a prioritized list of appropriate nursing interventions, supported by detailed rationales incorporating pathophysiology, pharmacology, and evidence-based practice. The interventions include ECG, cardiac catheterization, and other diagnostic and therapeutic measures. The analysis emphasizes the importance of assessment, monitoring for complications, and the implementation of chest pain center protocols for rapid diagnosis and treatment. The case study also touches upon assessment and management of complications, clinical observations, and the overall plan of care, including medication and potential procedures like cardiac catheterization. The assignment demonstrates the application of clinical reasoning and critical thinking skills in managing a patient with chest pain.

Case Study

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY ..................................................................................................................................3
SCENARIO ................................................................................................................................3
Potential problems.......................................................................................................................3
Pericarditis and Myocarditis.......................................................................................................4
Principles of chest pain ..............................................................................................................4
Appropriate interventions ...........................................................................................................4
Rationale.....................................................................................................................................5
Plan of care..................................................................................................................................6
Assessment and Management Of Complications .....................................................................7
Clinical observation....................................................................................................................7
CONCLUSION................................................................................................................................7
REFERENCES ...............................................................................................................................8
Book and Journals ......................................................................................................................8

INTRODUCTION
The diseases associated with a heart are vastly common now a days. It is due to improper
diet routine as well as through internal and mental health issues such as intake of stress, anxiety
etc. The following case describe about a patient who is suffering from chronic chest pain. In this
report, the descriptive illustration of given case the disease which lead him to this crucial stage
(Meier,2018 )
MAIN BODY
SCENARIO
The current scenario describe that Mr. Flight who is allegedly 73 years old man who was
admitted with a chest pain 2 days ago. At the morning he stated that his chest pain became
chronic and serve. So in order to analyse cause, health professional recommended to undertake
him to ECG. As he results showed ST elevation in his anterior leads. The last group or set of
observation were recorded at 0800 that state that BP 100/70. HR 98, RR 22, Temp 36.7, SpO2 94
percent at room temperature(Saxena, and Sharma, 2016) He get along to feel chest pain as it was
not reduce chest pain. As per the doctor analysis he is alert and oriented. In addition none of his
medications have been administrated yet. As well as the doctor suggested him to under go the
therapy Cardiac Catheterisation.
Potential problems
The health related problems which served by the blood flow in coronary artery may cause
number of associated disease. As per studies it is stated that the blood flow is one directional
which under goes in all part of a body. According to the Mr. flight, origination of a chest pain is
not through the flow of blood so there are several health related problems or diseases that is not
in regards with blood flow in the coronary arteries.
Variant Angina
Some people which do not debit the disease in regard with coronary arteries may
successful to develop the classic and serve pain in angina. In a medical world this pain is termed
as Variant Angina and perhaps it caused due to uncertain and temporary spasm of a coronary
arteries(Saxena, and Sharma, 2016) As per the studies, the number of people who deal issues

with variant angina, their arteries are tend to be normal and also not posses plaque related
narrowing or any sort of instruction, although there are chances partial blockage caused due to
presence of spasm near chest area.
Pericarditis and Myocarditis
These are medical term of inflammation of within membranes which is around the heart.
It can cause the serious chest pain that may get worst while in taking the external air or taking a
long breath, cough or sneeze. As per the view, it can reduce by inter change the sitting posture
towards forward(SCOT-Heart Investigators, 2018)As the person also experience abnormal heart
sounds while going in the ECG therapies as well. Myocarditis can cause due to inflammation of
muscle of heart. Hence it can cause chest pain that mimic angina. Myocarditis is often affects by
the viral infection.
Principles of chest pain
It it is not significant and compulsory the causes of chest pain induced due to cardiac problem or
else cause, as there are some factor or major element that a health professionals must consider .
For example, the number of people who is dealing with issues with angina are most likely to
have chest discomfort rather than experiencing a pain in a chest. This may also feel like
tightness, pressure, fullness in chest, band like sensations, a tight knot on a centre of chest. Other
factors can includes symptoms like burning, heartburn, ache, heavy chest pain etc. The people
who experienced pain with out angina often illustrate their pain as sharp needle pinching feelings
and stabbing(Leung, 2020)
The location of pain can describe more as well. As per studies, the painb which is caused
in between stomach and oesophagus it is due to heavy in take of fats such as cheese, milk with
high calories. The other factors that may consider radiation, timings as well. In addition the other
symptoms that can be lead an individual to suffer with shortness of breath, nausea, fainting,
indigestion etc.
Appropriate interventions
In the case of Mr. Flight, as the pain is saviour and chronic so that the analysation,
observation of these chronic disease should be done in appropriate manner. As the chest pain can
detected diagnosed through the several equipments and tools. The first step in order to lead the

step is whole evaluation of pain. As it is discussed below that the pain location, radiation can
demonstrate a lot about the disease which caused to an individual. The further leads to testing. It
is the health professional responsibility to analyse the and accomplish the task which can ensure
the relief from pain even for the temporary period of time.
The successful approach is to provide a appropriate care and assistance the inhibit
interventions that may give better result that is Electrocardiogram. As this technique is traditional
and its is followed by health professional from decades. It depicts the progress of electrical wave
through various parts of muscles of heart. When the heart is not supposed to get blood which rich
in oxygen ischaemic chest pain. There are often chances to get Mr. Flight to deal this pain. The
pain of Mr. Flight as increasing day by day. The medication which are supposed to be in use are
tend to be useless and the detection and observation ODF this kind of chest are not to taken in a
proper way (Meier,2018 )
In today world, new tools and technique are launched. The detection stress test can be
detected and observed. The exercise test involves ECG while having walk or run on a treadmill.
the pain can cause while doing the physical activeness of a an individual. Nitroglycerin is a tiny
and small pill that is submerged under the tongue and allowed it to dissolve at its position. It is
medicine which can implemented when a patient feels a chronic pain in a chest.
Rationale
The concept of chest pain centre has growed at the time its 1990s. As the concept does
not followed in recent times and just another effort of marketing to admit an individual into
emergency wards or departments. A more modern and latest approach may begin as a simple
intervention initially to incorporate clinical and operational as well as manage care for a vast and
large and growing patients of target populations. As the rapid diagnosis and treatment protocols
for specific disease processes are not latest or new concept. It has been there and existing in a
trauma centrefire from decades. Chest pain tend to be complicated to balance and manage as well
s it require development evidence based protocols which meant to be followed and strategies
which should be taken in order to promote the progress in recovery. Along with the risk
stratification tool to detect. It is triage and stratification is a standard care for chest pain in a
patients.
As per studied, Corazon recommends that any type CPC strategy is a first which
acknowledge the system of care, which ensure improvement as well as beneficial I reducing time

in detection and analysation. The program of CPC program can be determined as it is linked and
associated with a early symptoms which can aware the number of people. The programmes are
established is to spread and circulate the better awareness in respect of chest pain as the pain
becomes tough to survive for an individual. The main objective of system care will established
the safety of optimum quality treatment as well as management of patients (Deckers, 2019).
Each year in Australia, over 8 million of patients are present to ED( emergency
department) as with regard of issues of chest discomfort or other major symptoms associated
with the disease for cardio vascular. As the symptoms those are present there are tend to crucial
and complicated consistent with rate of possibilities acute and chronic coronary syndrome
(ACS). Hence, over the half of these patients are typically adopt to join hospice for further
diagnosis and treatment. According to the estimated data there are 20m percent of population
who were diagnosed ACS. As the evaluation is avoided low to moderate risk patients in unit of
unit of chest pain. This vast and large undifferentiated patients generation and population reveals
and represent a potential of high risk group for urgency of physicians which may require a
systematically approach and particular resources of ED. As the evaluation to the appropriate
determine in case if a patient is secure and safe to be allowed to go home with out patient lead up
versus require registration to the hospice for better monitoring and testing in furthermore
terms(Saxena, and Sharma, 2016)
Plan of care
Cardiac Catheterisation indulge significant elements that includes the insertion of cather
into the problematic area whether artery or vein of patient's heart. As the purpose of this activity
consist diagnostic and intervention. Diagnostic catheters are majorly apply to asses flow of blood
and pressures in chambers of heart, valves and coronary arteries that attain assistance in the
observation, diagnosis and treatment(SCOT-Heart Investigators, 2018)
The following interventional are used to apply open heart surgery when it is confirm and
termed to possible and that are indulged in closing of ventricular and atrial septal defects by the
help of catheter equipment closure, extended of narrow ways or passages, electrical pathways
and widening of existing as a opening which is termed as balloon atrial septet in medical field.
The basic technical terms which are mainly used in this techniques debits specific and
meaning such as thombus the word means a clot which is formed within the vascular system of a
body which can interrupt flow of a blood. RR termed as respiratory rate, GA as general

anaesthetic ,CRT as capillary refill time and SpO2 can be termed as oxygen saturations, it is
measured through pulse oximetry (Meier,2018 )
Assessment and Management Of Complications
As the symptoms and conditions of a patient varies from body to body. The acute
haemodynamic complication are associated with the usual and general anaesthetic that is
compulsory and required with cardiac catheter. The probability of vessel damage, bleeding
including haematoma, puncture site assessment , ecchy moss which may can affect the skin. Skin
changes in purple.
The basic investigation which should be assess in order to promote the recovery can be
Chest X-ray which technically apply for the detection and required for device closure time to
discharge, ECHO as well as ECG.
Clinical observation
The techniques which is implemented in order to diagnosis are considered to provide the
effective results. As per studies it may help in detection of oxygen delivery, pain score,
temperature, rate of heart and pulses, respiratory distress, RR, estimation of haemoglobin content
in a blood as well. In certain cases it may helpful to observe neuro logical and neuro vascular
too(SCOT-Heart Investigators, 2018)
CONCLUSION
The saviour heart diseases are most likely to be common in now busy world. People
generally deal with the diseases as it shows the early stage they generally ignore and do not
respond to causes seriously. In order to reduction of such disease one should undergo on
nutritional diet as well as may get involve in physical activities as well. The physical activities
are significant as it help body to be structured and functional in a natural way. The intakes of
junk food, drugs should be prohibited as it may affect the health either in early age or old age.

REFERENCES
Book and Journals
Crea, F. and Lanza, G.A., 2016. Treatment of microvascular angina: the need for precision
medicine.
Deckers, J.W., 2019. Diagnostic re-classification and prognostic risk stratification of patients
with acute chest pain. Netherlands Heart Journal, 27(11), pp.575-580.
Jeong, H.J. and Jeon, S.Y., 2019. A Case Report of the Treatment of an Unstable Angina Pectoris
Patient with Chest Pain, Insomnia, and Dyspnea by Gamiondam-tang-gagam. The
Journal of Internal Korean Medicine, 40(3), pp.525-533.
Kim, E. and Jo, H.G., 2020. Korean Medicine Treatment for Chronic Atypical Chest Pain
Diagnosed as Coronary Artery Disease: A Case Report. The Journal of Internal Korean
Medicine, 41(4), pp.688-698.
Leung, C., 2020. Risk factors for predicting mortality in elderly patients with COVID-19: a
review of clinical data in China. Mechanisms of ageing and development, p.111255.
McConaghy, J.R., Sharma, M. and Patel, H., 2020. Acute Chest Pain in Adults: Outpatient
Evaluation. American Family Physician, 102(12), pp.721-727.
Meier, R.K., 2018. Polycystic ovary syndrome. Nurs Clin North Am, 53(3), pp.407-420.
Saxena, K. and Sharma, R., 2016. Efficient heart disease prediction system. Procedia Computer
Science, 85, pp.962-969.
SCOT-Heart Investigators, 2018. Coronary CT angiography and 5-year risk of myocardial
infarction. New England Journal of Medicine, 379(10), pp.924-933.
Yasin, O.Z., Rubio-Tapia, A. and Sarano, M.E., 2017. Wellens syndrome with syncope but not
chest pain. Cardiology, 137(1), pp.9-1