The telemetry nurse assessed a 65-year-old female patient that
was admitted for an MI and noticed that no ST segment elevation
occurred on the ECG during the admission process. The nurse
understands that:
| a. new onset angina will not present with any ST abnormality. |
| b. non-ST elevation during an MI is common in women. |
| c. the ECG results were incorrect and should be discarded; a stat ECG should be ordered. |
| d. this was due to an incorrect lead placement; cardiac enzymes can confirm the MI. |
The telemetry nurse understands that although biomarkers represent the myocardial infarction occurrence, in women there is an increased incidence of Non-ST Elevation Myocardial Infarction (NSTEMI). Option b is the correct answer.
The telemetry nurse assessed a 65-year-old female patient that was admitted for an MI and noticed...
Mason Zigfried is a 67 year old male with history of diabetes mellitus, hypertension, smokes 1 pk of cigarette/day, drinks 2-3 beers daily. He is admitted to the CCU with a diagnosis of Unstable Angina, R/O NSTEMI. During the admission process in ER a CBC, CMP, cardiac enzymes including troponin level was checked. Patient continues to complain of chest pain 3/10 with no other symptoms. 12 lead EKG showed no ST elevation, cardiac enzymes were slightly elevated and troponin came...
Brief Patient History: Mr. X is a 64-year-old male admitted to the unit with acute myocardial infarction (AMI) after emergent left (L)- sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes diabetes mellitus type 2, heart failure, hypertension, and osteoarthritis. Home medications include furosemide Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), Glucophage (metformin), and Motrin (ibuprofen). Clinical Assessment: Twenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free....
Scenerio A 66-year-old, 70-kg woman with a history of MI, HTN, hyperlipidemia, and diabetes mellitus presents with sudden-onset diaphoresis, nausea, vomiting, and dyspnea, followed by a bandlike upper chest pain (8/10) radiating to her left arm. She had felt well until 1 month ago, when she noticed her typical angina was occurring with less exertion. Electrocardiography showed ST-segment depression in leads II, III, and aVF and hyperdynamic T waves and positive cardiac enzymes. BP = 150/90 mm Hg,...
Penny Williams, a 74-year-old patient, is admitted to the telemetry unit with the diagnosis of acute ischemic stroke. The patient is experiencing paroxysmal atrial fibrillation with a controlled ventricular rate on the monitor. The CT of the head without contrast reveals no evidence of hemorrhage. The transesophageal echocardiogram reveals moderate mitral valve insufficiency and embolism as a primary cause of the stroke. The patient is on a weight-based heparin protocol. The patient received digitalis to keep the ventricular rate of...
Penny Williams, a 74-year-old patient, is admitted to the telemetry unit with the diagnosis of acute ischemic stroke. The patient is experiencing paroxysmal atrial fibrillation with a controlled ventricular rate on the monitor. The CT of the head without contrast reveals no evidence of hemorrhage. The transesophageal echocardiogram reveals moderate mitral valve insufficiency and embolism as a primary cause of the stroke. The patient is on a weight-based heparin protocol. The patient received digitalis to keep the ventricular rate of...
Brief Patient History: Mr. X is a 64-year-old male admitted to the unit with acute myocardial infarction (AMI) after emergent left (L)- sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes diabetes mellitus type 2, heart failure, hypertension, and osteoarthritis. Home medications include furosemide Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), Glucophage (metformin), and Motrin (ibuprofen). Clinical Assessment: Twenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free....
D.R. is a 55 year-old man who was admitted from the Emergency Department with the acute onset of mid-sternal chest pain, radiating down the left arm and up the left side of the neck. The patient’s pain level is 7/10, he complains of shortness of breath and is cool, pale, and diaphoretic. Blood pressure is 160/90, pulse 110, respiratory rate 28. Cardiovascular risk factors include: history of hypertension (controlled), positive family history (dad died at 46 with sudden cardiac death),...
Brief Patient History: Mr. X is a 64-year-old male admitted to the unit with acute myocardial infarction (AMI) after emergent left (L)- sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes diabetes mellitus type 2, heart failure, hypertension, and osteoarthritis. Home medications include furosemide Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), Glucophage (metformin), and Motrin (ibuprofen). Clinical Assessment: Twenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free....
Brief Patient History: Mr. X is a 64-year-old male admitted to the unit with acute myocardial infarction (AMI) after emergent left (L)- sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes diabetes mellitus type 2, heart failure, hypertension, and osteoarthritis. Home medications include furosemide Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), Glucophage (metformin), and Motrin (ibuprofen). Clinical Assessment: Twenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free....
April Smith, an 82-year-old female client, is at the independent living facility and had planned on going to a senior outing when she activated her emergency alert button she wears around her neck. When the emergency response system called, she stated in gasping words, “I can’t get my breath!” She denies any chest pain or abdominal pain. The vital signs at the scene were T, 96° F; BP, 190/100 mm Hg; HR, 100 beats/minute; RR, 30 breaths/minute. She is diaphoretic...