Question

Complete the case study and use the textbook pages to support your answer.

Ms. Berry is a 72-year-old female with a history of chronic stable angina and hypertension. She has controlled the HTN and CSA with medications for the past 3 years. Ms. Berry arrives at the ED with clinical manifestations of a myocardial infarction, including severe indigestion, palpitations, syncope, and shortness of breath. The healthcare team initiates the chest pain protocol, cardiac enzymes are drawn, and an ECG is completed.

1. What is the purpose of initiating chest pain protocols for patients arriving in the ED with suspected MI?

2. What are the risk factors for Ms. Berry? Which are modifiable and nonmodifiable?

3. What are the interprofessional treatment goals for Ms. Berry?

Answer 1

Ans)Chest Pain Protocol: It is a non-managed care protocol for patients with complaints of acute chest pain, that is, symptoms possibly stemming from an acute coronary syndrome (ACS) or from other cardiovascular diseases.

- Initial stabilization of patients with suspected MI and ongoing acute chest pain should include administration of sublingual nitroglycerin if patients have no contraindications to it.

- Artery relaxers. Nitroglycerin — usually taken as a tablet under the tongue — relaxes heart arteries, so blood can flow more easily through the narrowed spaces.
Aspirin.
Thrombolytic drugs.
Blood thinners.
Acid-suppressing medications.
Antidepressants.

- History of chronic stable angina and hypertension. She has controlled the HTN and CSA with medications for the past 3 years are the risk factors.

- Modifible factors : Lifestyle modifications:

Eating a healthy diet. To help manage your blood pressure, you should limit the amount of sodium (salt) that you eat, and increase the amount of potassium in your diet.
Getting regular exercise.
Being at a healthy weight.
Limiting alcohol.
Not smoking.
Managing stress.

- Non Modifible: Age, ethnic background, family history of heart disease. The older you are, the more likely you are to develop coronary heart disease or to have a cardiac event (angina, heart attack or stroke).