Question

In: Nursing

Mr Balram a 49-year-old male, has been admitted to hospital in the late evening for a...

Mr Balram a 49-year-old male, has been admitted to hospital in the late evening for a case of unstable angina. Presenting complaints include left-sided chest pain which was less severe than that of his previous admission and localized pain during rest. Other symptoms are profuse sweating as well as nausea and vomiting, orthopnea and paroxysmal nocturnal dyspnea, cough and fever.

Patient’s past medical history includes diabetes mellitus and hypertension diagnosed 6 years ago, ischemic heart disease (IHD) since 3 years ago, for which the last hospital admission was 11 months ago.

Using the information about Mr Balram, discuss your management of the patient with evidence to support your management

Solutions

Expert Solution

unstable angina is a condition in which your heart doesn't get enough blood flow and oxygen.it may lead to a heart attack.amngina is a type of chest discomfort caused by poor blood flow throgh the blood vessels (coronary vessels)of the heart muscle(myocardium)

agina is anpther word for heart-related chest pain.you may also feel pain in other parts of your body,such as:

-shuolders

-neck

-back

-arms

the pain is due to inadequate blood supply to your heart muscle,which deprives your heart of oxygen.

management:

1. medical

2.surgery

one of the fist treatments your doctor may recommended is a blood thinner,such as aspirin,heparin,or clopidogrel.when your blood isn't as thick,it can flow more freely through your arteries.

may use other medications to reduce angina symptoms,including drugs that reduce

-blood pressure

   -cholestrol level

-anxiety

-arrhthmia symptoms

sugery:

if you have a blockege or severe narrowing in an artery,your doctor may recommended more invasive procedures.these include angioplasty,where they open up an artery that was previosly blocked.your doctor also may insert a small tube known as a stent to keep your artery open.

in severe instances,you may need heart bypass surgery.this procedure reroutes blood flow away from a blocked artery to help improve blood flow to your heart.

lifestyle changes:

no matter the severity of your condition,you may need to change your long-term lifestyle.lifestyle changes that can your heart health include

-eating a healthier diet

-lowering your stress

-exercising more

-losing weight if you are overweight

all of these changes can lessen your chance of an angina attack and reduce your risk of heart attack.talk to your doctor about appropriate changes to your lifestyle,including a healthy diet and exercise routine.

nonmedical self-care options including taking steps to lose weight,giving up tobacco use,and exercising more regularly.working toward a healthier and reduce your risk of future unstable angina episodes.


Related Solutions

Mr. Hampton is a 65-year-old male who has been admitted to the hospital with abdominal swelling,...
Mr. Hampton is a 65-year-old male who has been admitted to the hospital with abdominal swelling, night sweats, and shortness of breath that has been getting progressively worse over the last 4 weeks. He reports having lost 10 pounds over this time, being itchy, and being constantly tired. His past medical history is clear of any medical problems. His family history reveals that his mother had breast cancer and his father had prostate cancer. He is a chemist by profession,...
Mr. Banks, a 63 year old male, was admitted to the local hospital for symptoms that...
Mr. Banks, a 63 year old male, was admitted to the local hospital for symptoms that included fluid-filled vesicles on one side of his chest and waist. They are all painful and very itchy. What is his likely diagnosis? What other clinical findings may suggest this diagnosis? Why is Mr. Banks experiencing this disease? Describe what a dermatome and dermatome map is and how they can be useful for Mr. Banks. Name 3 other clinical findings or procedures that a...
SCENARIO: Mr. Hussain, 65-year-old male was admitted in the Male Medical Ward of Nizwa Hospital with...
SCENARIO: Mr. Hussain, 65-year-old male was admitted in the Male Medical Ward of Nizwa Hospital with generalized weakness, body pain and difficulty in performing activities of daily living. Upon admission, the nurse recorded his weight as 205 lbs. and height as 5′ 7.”   Questions/Instructions: 1. Calculate and interpret Mr. Hussain’s BMI. ​​​(5 marks calculation + 2-marks interpretation) 2. State three (3) health teachings or instructions to Mr. Husain.​
Jordan James is a 25-year-old male. Jordan has been admitted to hospital with a five day...
Jordan James is a 25-year-old male. Jordan has been admitted to hospital with a five day history of right lower abdominal cramping pain, a feeling of abdominal bloating, nausea and bilious vomiting, and an increased amount of abdominal gurgling and rumbling. Jordan stated that over recent weeks, he has experienced persistent diarrhoea, lower right abdominal pain and tenderness, fatigue and malaise. Jordan stated he has not been able to keep up with his work demands and is not getting quality...
Mr. Jones, a 50 year old man, has been admitted to your hospital unit with a diagnosis of gastrointestinal bleeding.
  Mr. Jones, a 50 year old man, has been admitted to your hospital unit with a diagnosis of gastrointestinal bleeding. He drove himself to the emergency department after vomiting bright red blood twice within 6 hours. The emergency department staff reported that he arrived on the unit oriented times three but is anxious, slurring his words, and smells of alcohol. He was not able to provide a full history upon admission, but admits to drinking a "few" drinks that...
Mr. D Mr. D is a 90-year-old man who was admitted to the hospital with complaints...
Mr. D Mr. D is a 90-year-old man who was admitted to the hospital with complaints of nausea, vomiting, left arm pain, and chest pain. An electrocardiogram (ECG) is performed, and he is diagnosed as having a myocardial infarction. Mr. D has a long history of comorbidities including hypertension, diabetes, and congestive heart failure (CHF). With this in mind, the physician asks Mr. D if he wants life-sustaining measures taken (e.g., CPR, mechanical ventilation, etc.) should he experience cardiopulmonary arrest....
Patient is a 76 year old male who was admitted to the hospital for pulmonary embolism,...
Patient is a 76 year old male who was admitted to the hospital for pulmonary embolism, cardiomyopathy, left ventricular thrombus, ischemic cardiomyopathy. No known allergies. He has history of HTN and hyperlipidemia. Over the past 2 months, he was experiencing SOB particularly with exertion. Patient visited primary care provider on the 29th who directed him to ED for further evaluation. In the ER, found to be afebrile, hemodinamically stable, saturating 95% RA. Lab work-up notable for troponin of 61. CTA...
A five-year-old male patient was admitted to the hospital with a severe acute infection of the...
A five-year-old male patient was admitted to the hospital with a severe acute infection of the ethmoid sinuses. The patient has had a history of sinus infections. At three years of age, the patient had been diagnosed with a pneumonia infection, but did not have an increased level of white blood cells. Presently, the patient was treated with antibiotics and his antibodies against streptolysin O, an antigen from streptococci, were measured. The patient had no antibodies against SLO, and his...
Mr. Henderson is a 49-year-old patient who is admitted to the medical-surgical floor in a hypertensive...
Mr. Henderson is a 49-year-old patient who is admitted to the medical-surgical floor in a hypertensive crisis. The patient's vital signs are B/P: 200/98, HR: 62; RR: 12; T: 98.4 F, and oxygen saturation: 96% on room air. The patient is complaining of a headache and blurred vision. The patient's past medical history: hyperlipidemia, borderline diabetes, and gout. The patient takes atorvastatin and allopurinol. The patient states, "l control my diabetes with my diet." He is ordered Cardene, 5 mg/hr.,...
Mrs. Jay, a 73 year old female, has been admitted to the hospital for treatment of...
Mrs. Jay, a 73 year old female, has been admitted to the hospital for treatment of a deep vein thrombosis in her right calf. Her PMH includes hypertension. She has been taking Capoten 12.5 mg BID with good control of her pressure.  She is ordered on bedrest with the following orders: Heparin 5000units IV bolus, followed by a heparin drip of 25,000units in 250ml to infuse at 1000 units per hour. Follow heparin protocol that includes obtaining a stat aPTT 6...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT