Nursing Case Study – Patients With Coronary Vascular Disorders

Case Study, Chapter 27, Management of Patients With Coronary Vascular Disorders
1. Dylan Radin, 55 years of age, is a male patient who is admitted to the ED via ambulance with acute onset of midsternal chest pain radiating down the left arm and radiating up the left side of the neck. The patient complains of shortness of breath and is cool, pale, and diaphoretic. The vital signs include: blood pressure, 160/90 mm Hg; heart rate, 110 bpm; respiratory rate, 26 breaths/min; and temperature 99°F. The 12-lead ECG reveals an anterior wall ST-elevation myocardial infarction (STEMI). (Learning Objective 4)
a. What first actions should the nurse take after the patient has arrived in the emergency department?
b. The emergency physician has contacted a cardiologist and the patient is scheduled for a percutaneous coronary intervention (PCI) in less than 60 minutes from the door-to-balloon time. Explain the reasoning for this action based on evidence-based guidelines and considering the clinical manifestations and the pathophysiology of the STEMI.
2. The home health care nurse is visiting Mr. Simpson, a 62-year-old man with a significant history of angina pectoris. During the visit, the nurse assesses Mr. Simpson’s current status, including his vital signs, activity level, and dietary intake. Mr. Simpson’s medications include sublingual nitroglycerin as needed for chest pain, metoprolol, Cardizem, and ticlopidine. (Learning Objective 2)
a. What are the rationales for the prescribed medications?
b. Mr. Simpson continues to smoke despite his disease process. How does smoking increase Mr. Simpson’s chances of angina episodes?
c. The nurse reviews the correct procedure for taking nitroglycerin for chest pain, and includes what information?
d. The nurse uses the PQRST acronym to assess for symptoms of angina. What is the nurse assessing?

Order a Unique Copy of this Paper

Essay Creek is an academic writing service provided to you by, a London-based company.

  • Experience
    Helping students successfully for 11 years.
  • Confidentiality & Security
    Be sure your information will be kept confidential due to our secure service.
  • Quality & Reliability
    8.5 out of 10 average quality score according to our customers' feedback. 97.45% of orders delivered on time.
  • Versatility
    478 active writers in 68 disciplines.
  • 100% money back guarantee
    You can always request a refund if you are not satisfied with the result.

Read more about us

Our team of writers is comprised of people with necessary academic writing skills and experience in various fields of study.

  • Skilled writers only
    We carefully choose writers to employ, paying attention to their skills and abilities.
  • Competence
    Your order will be assigned to a competent writer who specializes in your field of study.
  • In-depth knowledge
    Our writers know both peculiarities of academic writing and paper formatting rules.
  • Motivation
    We keep updated on results our writers show, motivating them to constantly improve their performance.

Read more about our writers

  • Testimonials
    Our clients' testimonials prove we're doing everything right.

Check for yourself

  • Sample essays
    The best way to understand how well our writers do their work is to view sample essays written by them.

View samples

  • Our Free Essay Tools
    Even more opportunities to improve your academic papers.

Bibliography Generator
Words to Pages Converter
Words to Minutes Converter
College GPA Calculator
Thesis statement generator