Scenario 1: Myocardial Infarction CC: “I woke

Scenario 1: Myocardial Infarction CC: “I woke up at 6 a.m. with numb left arm and chest pain. It feels tight right here (mid-sternal).” “My dad had a heart attack when he was 56 years old, and I am scared because I am 56 years old.” HPI: The patient is a 56-year-old Caucasian male who presents to Express Hospital Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states this started this morning and has been getting worse, pointing to the mid-sternal area, “it feels like an elephant is sitting on my chest and having a hard time breathing.” He rates the pain as 9/10. Nothing has made the pain better or worse. He denies any previous episodes of chest pain. Denies nausea or lightheadedness. Nitroglycerin 0.4 mg tablet sublingual x 1, which decreased pain to 7/10. Lipid panel reveals Total Cholesterol 424 mg/dl, high density lipoprotein (HDL) 26 mg/dl, Low-Density Lipoprotein (LDL) 166 mg/dl, Triglycerides 702 mg/dl, Very Low-Density Lipoprotein (VLDL) 64 mg/dl. His diagnosis is an acute inferior wall myocardial infarction. : Because of the result of a pleural friction rub, what does the Advanced Practice Registered Nurse (APRN) recognize? SCIENCE HEALTH SCIENCE NURSING NURS 6501

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