When a patient presents to the hospital with a MI the optimal treatment to relieve pain is oxygen, nitroglycerin, and morphine sulfate respectively (Boateng, 2013). Aspirin 160-325mg orally should also be administered to patients presenting with an acute MI (Ryan et. al, 2015). Depending on whether the patient is presenting with STEMI or non-STEMI will determine the next plan of action. If a patient is diagnosed with a STEMI it is pertinent to apply reperfusion therapy, a therapy that restores blood flow to an organ or tissue. A reperfusion therapy that is not as widely available, but is more effective is percutaneous coronary intervention (PCI) (Boateng, 2013). The other reperfusion therapy that is readily available but not as effective
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D is a 51 year old Caucasian male that was rushed by EMS to a hospital after experiencing sub-sternal chest pain that stemmed down his left arm. Mr. D also experienced dizziness and nausea. Patient reports a history of stable angina and hypertension. He also states he is overweight and recently lost 10 pounds and rarely exercises. Patients temperature was 99.1F, pulse rate of 120, respiratory rate of 26, and a blood pressure of 165/100. After running a ECG, occasional PVCs and ST elevation in leads II, III, aVF, V5, and V6 displaying signs of a transmural or STEMI. The patients serum troponin I levels were elevated representing infarction. The patient also had an elevated HbA1c of a value of 9.0%. A value greater than or equal to 6.5% is the diagnostic value for diabetes mellitus (Aguilar, 2011). Mr. D also present with dyslipidemia with a total cholesterol level of 350mg/dl. Mr. D exhibits multiple risk factors that were stated previously. He is over the age of 45, has a history of angina, has a sedentary lifestyle, hypertension, diabetes, and dyslipidemia. All of these factors have already predisposed Mr. D to coronary artery disease. Mr. D 's elevated temperature, pulse, and respiratory rate are also consistent of someone experiencing a MI. Referring to previous statements a MI would cause an increase in the values because the heart is trying to compensate for the portion of the heart that is dying. Mr. D 's EKG results show that his STEMI was effecting the inferior right coronary artery and the lateral circumflex
D is a 51 year old Caucasian male that was rushed by EMS to a hospital after experiencing sub-sternal chest pain that stemmed down his left arm. Mr. D also experienced dizziness and nausea. Patient reports a history of stable angina and hypertension. He also states he is overweight and recently lost 10 pounds and rarely exercises. Patients temperature was 99.1F, pulse rate of 120, respiratory rate of 26, and a blood pressure of 165/100. After running a ECG, occasional PVCs and ST elevation in leads II, III, aVF, V5, and V6 displaying signs of a transmural or STEMI. The patients serum troponin I levels were elevated representing infarction. The patient also had an elevated HbA1c of a value of 9.0%. A value greater than or equal to 6.5% is the diagnostic value for diabetes mellitus (Aguilar, 2011). Mr. D also present with dyslipidemia with a total cholesterol level of 350mg/dl. Mr. D exhibits multiple risk factors that were stated previously. He is over the age of 45, has a history of angina, has a sedentary lifestyle, hypertension, diabetes, and dyslipidemia. All of these factors have already predisposed Mr. D to coronary artery disease. Mr. D 's elevated temperature, pulse, and respiratory rate are also consistent of someone experiencing a MI. Referring to previous statements a MI would cause an increase in the values because the heart is trying to compensate for the portion of the heart that is dying. Mr. D 's EKG results show that his STEMI was effecting the inferior right coronary artery and the lateral circumflex