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George Jones is a 59-year-old male who

George Jones is a 59-year-old male who went to the emergency department with chest pain. He had experienced this chest pain for 30 minutes and it was not relieved after taking three nitroglycerin tablets 5 minutes apart. He reports the pain feels “dull and like an elephant is sitting on my chest.” He is diaphoretic and appears anxious. His vital signs are temperature 99° F, blood pressure 100/68 mm Hg, heart rate 110 beats/min, and respiratory rate 24 breaths/min. Mr. Jones is overweight and has type 2 diabetes mellitus, hyperlipidemia, and hypertension. He quit smoking last year after a 40-year history of one pack of cigarettes a day. His troponin level is elevated and the EKG shows ST segment elevation. The nurse administers oxygen and draws blood for arterial blood gas analysis. Mr. Jones is told he will have a cardiac catheterization to locate the blockage, determine its severity, and evaluate left ventricular function. With the given information thus far, complete the following: 2 points possible depending on thoroughness of rationales. List the Non-Modifiable Risk Factors For each factor, explain the rationale why each are a risk factor: List the Modifiable Risk Factors For each factor, explain the rationale why each are a risk factor:

 
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