please reda the case study below Introduction

please reda the case study below Introduction Mrs Bahira Ceyhan is a 68-year-old female with no known allergies (NKA) Situation Bahira Ceyhan arrived at the Emergency Department at 1030 hrs with central crushing chest pain radiating to her jaw since 1000 hrs. Findings from the 12 lead ECG recorded by paramedics showed ST elevation in leads V2, V3, V4. 300mg Aspirin administered on route to hospital. Background Hypertension (Captopril 12.5mg bd) Hyperlipidaemia (Simvastatin 40mg nocte) Type 2 Diabetes Mellitus (DM) (diet controlled) Weight: 87kg Assessment Airway: Patent Breathing: Respiratory rate 22 bilateral air entry breath sounds clear SpO2 on room air 92% Circulation: Sinus Tachycardia 104bpm. BP 152/92. Diaphoretic and peripherally cool. Central crushing chest pain radiating to the jaw. COLDSPA Character: Crushing chest pain Onset: 10am Location: Central, radiating to jaw Duration: Ongoing Severity: 8/10 Pattern: At rest, not relieved by SL Anginine Spray Associated symptoms: Diaphoresis Disability: Alert and oriented. Pupils equal and reacting to light (PEARL). Pain score 8/10. Equal strength in all four limbs. Exposure: IVC Left cubital fossa. Fluid: NBM NO IVF Results Elevated Troponin 35ng/L/troponin 12 lead ECG: ST elevation (>2mm) V2, V3, V4 A diagnosis of acute anterior STEMI is made. Recommendation Plan Supplemental oxygen if SpO2 < 93% Continuous cardiac ECG monitoring 12-lead ECG now, then every 30 minutes Keep in resuscitation bay (Triage category 2) Blood tests Troponin now, then again in 2 hours Medications Morphine 2.5mg IVI 2/24 (PRN maximum dose 10mg) Nitro-glycerine 600mcg SL (PRN maximum 3 doses); if pain persists, consider IV Glyceryl Trinitrate infusion Clopidogrel 300mg PO STAT Heparin 5000IU IV STAT As per STEMI reperfusion flowchart Transfer to Cardiac Cath Lab for urgent primary PCI when ready (<90mins) If PCI delayed, give Tenecteplase 45mg IV as per PACSA @ 1130am Question:provide rational for the nursing management of Mrs ceyhan in the emergecy department by thnking about ABCDE(airway,breathing,circulation,diability,exposure)think about where the ecg changes are occuring ,what part of the heart is affected and what can this potienally lead to . why oxygen should be supplied please include refrence less than 5 years old

******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*******."