Question

In: Nursing

1. A 54-year-old woman presents in a hospital with complaint of chest pain associated with forceful...

1. A 54-year-old woman presents in a hospital with complaint of chest pain associated with forceful activities. The pain is dull but poorly localized and disappears few minutes of rest. No history of smoking but there is a positive history of hyperlipidemia. and admits that she has not been following the recommended diet. There was family history of heart attacks and cardiac diseases. Physical examination reveal blood pressure of 150/95 mm Hg, and heart rate of 80 bpm and nothing else is contributory; an electrocardiogram is normal except for slight left ventricular hypertrophy.

a. what is your working diagnosis?

b. what are drug (s) of choice for the treatment? why

c. what counselling will you give to the patient

d. write a summary on your diagnosis

Solutions

Expert Solution

a. Diagnosis - slight left ventricular hypertrophy

b. The following drug may adviced for the treatment for Blood pressure medication and also help to prevent further enlargment of left ventricular hypertrophy and hyperlipidemia.

  • captopril, enalapril (Vasotec) and lisinopril (Zestril), losartan (Cozaar) - These medications widen blood vessels to lower blood pressure, improve blood flow and decrease the heart's workload.
  • amlodipine (Norvasc) and diltiazem (Cardizem, Tiazac) - These medications prevent calcium from entering cells of the heart and blood vessel walls, resulting in lower blood pressure.
  • Medications known as thiazide-type diuretics can facilitate blood flow, lowering hypertension.
  • cholesterol- and triglyceride-lowering medications such as fluvastatin (Lescol XL), lovastatin (Altoprev), pitavastatin (Livalo), colestipol (Colestid),

c. Counsilling should cover the following life style changes

  • Regular exercise
  • A diet high in fruits, vegetables, whole grains and good fats, and reduced amounts of refined carbohydrates, sodium and saturated fats.

d.Summary

The patient complaints the history of chest pain and hyperlipidemia. The family history shows the  heart attacks and cardiac diseases. The current examination shows high BP and ECG confirming the dignosis of slight  left ventricular hypertrophy.

Nightingale answered 2 years ago
Next > < Previous

Related Solutions

1. A 54-year-old woman presents in a hospital with complaint of chest pain associated with forceful...
1. A 54-year-old woman presents in a hospital with complaint of chest pain associated with forceful activities. The pain is dull but poorly localized and disappears few minutes of rest. No history of smoking but there is a positive history of hyperlipidemia. and admits that she has not been following the recommended diet. There was family history of heart attacks and cardiac diseases. Physical examination reveal blood pressure of 150/95 mm Hg, and heart rate of 80 bpm and nothing...
A 54-year-old woman presents in a hospital with complaint of chest pain associated with forceful activities....
A 54-year-old woman presents in a hospital with complaint of chest pain associated with forceful activities. The pain is dull but poorly localized and disappears few minutes of rest. No history of smoking but there is a positive history of hyperlipidemia. and admits that she has not been following the recommended diet. There was family history of heart attacks and cardiac diseases. Physical examination reveal blood pressure of 150/95 mm Hg, and heart rate of 80 bpm and nothing else...
Note this are medical/Pharmacy questions!!! 1. A 54-year-old woman presents in a hospital with complaint of...
Note this are medical/Pharmacy questions!!! 1. A 54-year-old woman presents in a hospital with complaint of chest pain associated with forceful activities. The pain is dull but poorly localized and disappears few minutes of rest. No history of smoking but there is a positive history of hyperlipidemia. and admits that she has not been following the recommended diet. There was family history of heart attacks and cardiac diseases. Physical examination reveal blood pressure of 150/95 mm Hg, and heart rate...
A 58-year old male presents with a complaint of severe chest pain over the past hour....
A 58-year old male presents with a complaint of severe chest pain over the past hour. He did not call 911 “because I don’t have the money for an ambulance.” Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed. In SOAP format, list: Pertinent positive and negative information Differential and working diagnosis Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and...
A 48-year-old woman presents with a chief complaint of knee pain, with aching and stiffness on...
A 48-year-old woman presents with a chief complaint of knee pain, with aching and stiffness on arising but easing up during the day. She does not engage in any type of exercise or activity. She is a grava 4, para 4 with a 10-year history of hypertension and a diagnosis of diabetes in the past 2 years. She calls it “sugar” and states that this condition is controlled with diet. She recently began working at a local Wal-Mart and has...
A 35-year-old man presents to the emergency department with complaints of chest pain. The pain improves...
A 35-year-old man presents to the emergency department with complaints of chest pain. The pain improves by leaning forward. On review, he has noted a flu-like illness over the last several days including fever, runny nose and cough. Upon further investigation his blood test indicates signs/parameters for infection. He denies tobacco, alcohol or drug use. His head and neck examination is notable for clear mucus in the nasal passages. However, his jugular venous pressure is high. Also, during his cardiac...
Case: Chest Pain F.C. is a 57-year-old male who presents to the emergency department with chest...
Case: Chest Pain F.C. is a 57-year-old male who presents to the emergency department with chest pain and shortness of breath. Subjective data: PMH: HTN, hyperlipidemia, coronary artery bypass graft 4 years ago secondary to myocardial infarction Sudden onset shortness of breath Crushing feeling, chest pain 10/10 Current smoker, 1 pack a day for 41 years Objective data: Vital signs: T 37 C, P 72, R 20, BP 144/64 Lungs: clear bilaterally O2 sat: 94% Skin: cool to touch CV:...
A 45-year-old male presents with a chief complaint of pain in the abdominal area. The patient...
A 45-year-old male presents with a chief complaint of pain in the abdominal area. The patient had pain with palpation of the abdomen and standard x-rays were negative. What other types of radiographic, diagnostic studies can be performed? What are the advantages of these studies over standard x-rays and is one study best?
1. A 55-year-old male arrives at the hospital complaining of chest pain, shortness of breath and...
1. A 55-year-old male arrives at the hospital complaining of chest pain, shortness of breath and dizziness. The attending physician suspects the patient may be suffering from a heart attack after confirming the patient’s history of coronary artery disease. a. Discuss the imaging technique (s) and/or hemodynamic data that can be used in a catheterization procedure to confirm stenosis in a coronary artery. b. If coronary artery stenosis is confirmed, discuss at least two (2) possible interventions that the interventional...
Suppose a 50 year old female presents to the ER with chest pain after eating a...
Suppose a 50 year old female presents to the ER with chest pain after eating a meal consisting of a large portion of red meat, creamy sauce, and potatoes. The woman's bloodwork shows very elevated levels of serum cholesterol. It is likely she had a heart attack and will start taking statins in order to reduce her cholesterol levels. What impact do the statins have on HDL, LDL, and her triglyceride levels?
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT