Patient introduction
Mrs. S is 45 years old, married, Caucasian female. She was admitted to a hospital for a scheduled cholecystectomy.
History of present illness
Mrs. S has a history of cholelithiasis, the presence of stones in the gallbladder, and eventually was scheduled for elective cholecystectomy. Cholecystectomy is a common surgical procedure on removal gallbladder, and usually carries a small risk of complications. On the preoperative day, Mrs. S’ diagnostic data was within normal range, except slightly elevated blood pressure (140/80).
Mrs. S tolerated the surgical procedure well and had no complications. After the surgery, the patient was admitted to the surgical step-down unit for further recovery. Her blood pressure was once again slightly elevated (150/88), otherwise all vital signs remained stable. The patient was ordered to be out of bed to the …show more content…
MI is the significant damage and death of heart muscles caused by a compromised blood flow. When blood flow to the heart is blocked by a blockage of a coronary artery, oxygen delivery to the heart muscles is compromised as well. According to Macon and Yu (2012), most common recognized sings of an acute MI are: anxiety, cough, tachycardia, pain in the chest, back, jaw or other areas of the body, and shortness of breath. In our case study, Mrs. S on the postoperative day 2 complained of mid-sternal pain that was radiating to the left side of the body: neck, shoulder and jaw. In addition, her HR was 114, and respiration rate was also elevated at 37 per min. Moreover, the 12-lead ECG was performed and revealed a significant ST segment elevation that is characteristic for MI. Also, the laboratory results of increased cardiac enzymes (myoglobin, troponin, and creatine kinase) confirm the occurrence of acute MI (Ye, 2013). In myocardial infarction, a myocardial necrosis occurs and specific cardiac enzymes are released into circulation. In Mrs. S case the elevated cardiac as
Mrs. S is 45 years old, married, Caucasian female. She was admitted to a hospital for a scheduled cholecystectomy.
History of present illness
Mrs. S has a history of cholelithiasis, the presence of stones in the gallbladder, and eventually was scheduled for elective cholecystectomy. Cholecystectomy is a common surgical procedure on removal gallbladder, and usually carries a small risk of complications. On the preoperative day, Mrs. S’ diagnostic data was within normal range, except slightly elevated blood pressure (140/80).
Mrs. S tolerated the surgical procedure well and had no complications. After the surgery, the patient was admitted to the surgical step-down unit for further recovery. Her blood pressure was once again slightly elevated (150/88), otherwise all vital signs remained stable. The patient was ordered to be out of bed to the …show more content…
MI is the significant damage and death of heart muscles caused by a compromised blood flow. When blood flow to the heart is blocked by a blockage of a coronary artery, oxygen delivery to the heart muscles is compromised as well. According to Macon and Yu (2012), most common recognized sings of an acute MI are: anxiety, cough, tachycardia, pain in the chest, back, jaw or other areas of the body, and shortness of breath. In our case study, Mrs. S on the postoperative day 2 complained of mid-sternal pain that was radiating to the left side of the body: neck, shoulder and jaw. In addition, her HR was 114, and respiration rate was also elevated at 37 per min. Moreover, the 12-lead ECG was performed and revealed a significant ST segment elevation that is characteristic for MI. Also, the laboratory results of increased cardiac enzymes (myoglobin, troponin, and creatine kinase) confirm the occurrence of acute MI (Ye, 2013). In myocardial infarction, a myocardial necrosis occurs and specific cardiac enzymes are released into circulation. In Mrs. S case the elevated cardiac as