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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.

Nightingale answered 1 year ago

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