Filomina Pace is 68 yo. She has

Filomina Pace is 68 yo. She has been brought to the emergency department by ambulance. She reports chest pain which has lasted two hours. She reports that rest and the glyceryl trinitrate spray used three times had no effect on the pain. Collect cues Social history: Lives alone Past medical history: Hypertension T2 diabetes mellitus Stable angina Current medications: perindopril (ACE inhibitor) 10 mg with amlodipine (calcium channel blocker) 5 mg, daily glyceryl trinitrate, sublingual spray, 400 mcg/dose, use when required for chest pain metformin (drug for diabetes) 1g, twice daily Health history: Height: 150 cm; Weight: 72kg; BMI: 32 Alcohol: “a glass of wine at family events” Tobacco: 45 yr usage; 1.5 – 2 packets / day; has reduced to < 2 cigarettes / day Physical assessment: Respiratory rate = 28 bpm SpO2 = 96% on room air BP = 90/ 56 mmHg: MAP = 67 mmHg Heart rate = 96 bpm Temp = 37.2oC Skin: cool, pale, diaphoretic Electrocardiograph (ECG): ST elevation noted Pain assessment: P (provoking) - nil identifiable Q (quality) - heaviness & ache R (region and radiation) - chest & jaw S (severity) - at worst 7/10 T (time) - past 2 hours SCIENCE HEALTH SCIENCE NURSING CNC 240

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."