What is abnormal? Nurse, please don’t kill

What is abnormal? Nurse, please don’t kill the patient A 65-year-old man with a past medical history of diabetes and hypertension presents to the emergency department with 2 hours of retrosternal chest pain that radiates to the lower jaw and is associated with nausea. The patient reports having episodes of a similar type of pain in the last 3 months but usually lasts for a few minutes and is relieved by rest. On physical exam, blood pressure is 83/52 mmHg, heart rate is 107/min, respiratory rate 22/min, and SpO2 is 93% on room air. The patient is noted to be diaphoretic, with jugular venous distention, and has bilateral basal crackles on auscultation. EKG reveals non-specific T wave inversions. The troponin level is 3.7 ng/mL. The patient is given aspirin, clopidogrel, and heparin in the emergency department. Directions: 1. Read the above scenario. Copy the scenario to a blank sheet of paper. 2. Highlight all S&S that indicate the condition of the patient when he presented to the ED. What nursing interventions will you as the nurse put in place? (HINT: A B C’s) What orders do you expect the physician to write for the stabilization and treatment of this patient? 3. What labs are abnormal? For the abnormal labs indicate what each of the normal values should be. 4. List all medications given. Why were these medications given? Commit to Memory

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