Name: William Smith Age: 52 Gender: Male
Name: William Smith Age: 52 Gender: Male Height: 72 inches Weight: 285 lbs Allergies: NKDA Medications: Metoprolol 50mg po daily Aspirin 81 mg po daily Nitroglycerin 0.3 mg sl prn chest pain Vital Signs: BP 146/89 (initially 188/96 per paramedic on ambulance) HR 110 bpm RR 28/min Temp 99.1F Mr. Smith arrived at the ED via ambulance complaining of chest pain and shortness of Breath. He has a history of HTN and angina. He has smoked one pack per day for the past 30 years. He reports an aching feeling in his chest on and off for the past 3 days. He was at a family wedding when he started feeling “heavy pressure in my chest”. He did not have his NTG tablets with him. Two SL doses were given in the ambulance and the patient now reports the chest pressure is gone. 1. What other information should you collect from this patient? 2. What are his risk factors for CV disease?3. What should you do now? 4. What diagnostic tests may be ordered by the doctor? 5. What medications might be helpful for this patient right now? 6. The doctor orders a one-time dose of ranitidine 150mg IV. Why? 7. The doctor orders Lovenox 40mg SubQ for the patient. Why? 8. The patient reports dry mouth from the blood pressure medications, what should you do? 9. List 3 nursing diagnoses and interventions for this patient. SCIENCE HEALTH SCIENCE NURSING NURSING 341
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