Question

CASE STUDY A Ms.Χ.aged 55 years, has been complaing of severe fatge and "indigestion.-" Her son is quite concerned and decides to take her to the emergency department. On arrivall she appears very anious, and her facial skin is cool and clammy, her blood pressure is 90/60, and the pulse is around 90 weak and inreguian She is given oxygen, an intravenous, lne is opened, leads for ECG are attached. Blood is taken for determination of serum enzymes and electrolytes. Tentative diagnosis is -yocardial nfarction involving the left ventricle. Her son provides informa tion that indicates Ms. X is a long-time smoker, has a stressfu job as a high school teacher, is recently separated aher 20 years of marriage, and is fearful of losing the family home. She has also seemed to be more fatigued and stopped going to the gm about 18 months ago. She has begun to rely on fast foods"ke pizza and fried chicken and cooks infrequently Her father had died of a heart attack at age 50. She had also noticed more fatigue and intermittent leg pain when walking or dimbing stairs at work. Generalized atherosclerosis is suspected 1 List the high-risk factors for atherosclerosis in this patient's history 2. Describe how atherosclerosis causes myocardial 3. It is suspected that the indigestion reported in the history was really angina. Explain how this pain may have 4 Explain each of the admitting signs 5. What is "atypical" in Ms. X's symptoms? How does this 6. What information do serum enzyme and electrolyte 7. What purpose does the ECG serve left ventricle. &. Ms. X. is showing increasing PVCs on the ECG. State the affect treatment and prognosis? levels provide? It is determined that Ms.X has a large infarct in the anterior cause and describe the effect if these continue to increase in frequency 9. On day 6 after admission Ms. X is preparing to go home lifestyle with her son and they receive instructions on modifications that are desirable if Ms. X is to avoid another MI. What measures should be included in such a

Answer 1

cardiogenic shock occur when heart damage so much its unable to supply enough blood to vitals organ liof the body like brain ,kidney etc.result of failure enough nutrition to the body affected .

blood pressure to fall and organ became to fail there work properly.

lack of blood to the vitals organ brain kideny other body parts without adequate oxygen and nutrition your organ not able to do work.

late phase of shock in which body compensated mechanism incresed heart rate ,vasoconstriction ,incresed respiratory rate are unable to maintain adequate perfusion to brain and vitals organ and patient will be hypotensive in this condition.

bllod supply and adequate nutrition not properly goes to vitals organ ... leads to cause of death ..