Hello, the scenario is
The patient’s, Susan Cooper’s, husband brought her to theemergency department this morning at 0815 because she wasexperiencing angina unrelieved by nitroglycerin. She has beenevaluated in the emergency room, and she is now awaiting cardiaccatheterization tomorrow to evaluate the extent of the coronaryartery disease.
Mrs. Cooper is a 75-year-old African American woman who has hadprimary hypertension since age 55 years. Her blood pressure hasbeen treated with antihypertensive drugs. She has a 1-year historyof stable (exertional) angina pectoris secondary to CAD. Her painhas been successfully controlled with the nitroglycerin patch andsublingual nitroglycerin tablets.
When she arrived to the ED, vital signs were: BP 154/90 mmHg, HR90/min, RR 14/min, and SpO2 96%. The first set of cardiac enzymeswere negative, and she had no ECG changes indicating that she wasnot experiencing a myocardial infarction, but the angina painpersisted intermittently. The provider ordered treatment withsublingual nitroglycerin, morphine, and aspirin to relieve herimmediate symptoms, and clopidogrel and fondaparinux as a safetyprecaution. She is not complaining of pain at this time. She tookher daily meds for hypertension at home before coming here. Theprovider included her home meds in the orders, as she will need tocontinue on these while she is here. Oxygen is running at 1 L/minby nasal cannula and an IV with lactated Ringer’s and 5% dextroseis infusing at 100 mL/hr.
Mrs. Cooper’s vital signs are being continuously monitored anddocumented every hour, and she is due for pain and vital signsassessment per the provider’s orders.
Diseases and condition is hypertension
Signs and symptoms is chest pain
Diagnosis test is cardiac catheterization
Medications are Nitroglycerin and hydrochlorothiazide.
I would like to know how to draw concept map. I attached thediagram that I would like to know. Could you fill out the diagramrelated to patient’s scenario?
