Heart Disease And Hypertension Case Study

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Introduction There are many different diseases that are prevalent in the population today. Walks for cancer and MS, and ice water bucket challenges for ALS. However something that does not get a lot of attention and is the number 1 killer or people in the United States is Heart disease (Leading Causes of Death, 2015). Underlying the blanket term of Heart disease are some diagnoses such as CAD, HTN, and angina or narrowing of coronary arteries causing pain (Heart Disease, n.d.). The purpose of this paper is to elicit information about coronary artery disease and hypertension related to being post myocardial infarction and how that can lead to congestive heart failure exacerbation.
Demographics
Mr. Jones is a 62 year old Caucasian male with
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His vital signs were stable, but his Oxygen saturation was 92%, so he was also placed on oxygen 2L nasal cannula. He had a note card in his wallet that he pulled out and had all of his medications written down as follows: Lovastatin 20mg 2x day, Atenolol 50mg q day, Enalapril 2.5mg 2x day, and baby aspirin 81mg q day (Colucci, 2014). He also has Nitroglycerin tablets for acute angina, which he has not yet had to use. The MD in the ED has prescribed a 1 time dose of 40mg Lasix IVP for CHF exacerbation (Colucci, 2015). He will now be placed on a 20mg q day of Lasix in addition to his other medications and has now arrived on the med surg unit for overnight observation (Colucci, 2015).
Anatomy and Physiology
Of Disease Coronary artery disease or CAD, is a disease that is characterized by “atherosclerotic vascular changes” or in the cardiovascular system (Urden, Stacy, Lough, 2014). Atherosclerosis is the buildup of plaques in your arteries. Hypertension otherwise known as high blood pressure, and is defined as, “an SBP greater than 140 mm Hg or DBP greater than 90 mm Hg” (Urden, Stacy, Lough, 2014). Myocardial infarction or a heart attack, is defined as, “the term used to describe irreversible myocardial necrosis (cell death) that results from an abrupt decrease or total cessation of coronary blood flow to a specific area of the myocardium” (Urden,
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Mr. Jones has a high stress job, was not exercising regularly, and eating a lot of high fat foods. He also had a family history of CAD, and his father passed away from an MI in his 80s. He was a pack a day smoker, and drinks a moderate amount of alcohol. He is in his 60s and is male, both of which put him at increased risk. He is overweight however is not obese, and has hypertension, which also increase his

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