Question: Nursing Assessment Cardiovascular Case Study Mr Smith Is A 50-year-old Man With A History Of Hypertension (HTN), CAD Coronary Artery Disease (CAD), Myocardial Infarction (MI) In June Of 2019 With Stents X 2 Placed. The Patient Was Brought In By Ambulance (BIBA) Presenting To The ED For 10/10 Chest Pain Lasting About 10 Minutes After Eating Dinner With …

Nursing Assessment Cardiovascular Case Study Mr Smith is a 50-year-old man with a history of Hypertension (HTN), CAD Coronary Artery Disease (CAD), Myocardial Infarction (MI) in June of 2019 with stents x 2 placed. The patient was brought in by ambulance (BIBA) presenting to the ED for 10/10 chest pain lasting about 10 minutes after eating dinner with family. Pt chewed 325mg ASA and given nitrogen sublingual 1 mins ago. Pt now with 5/10 chest pain. What are your first 3 priority interventions? 1. 2. 3 When taking vitals and performing your assessment you find: Patient has been noticing an increase in shortness of breath when doing simple tasks around the house and has noticed some “heart skipping”. Physical Assessment: Neuro: AAO X 3, moves all extremities to command, and exhibits equal strength. Pulmonary: Exhibits shortness of breath at rest; lung auscultation reveals bilateral crackles in the bases. GI: Bowel sounds normal; abdomen is non-tender to palpation. GU: Clear yellow urine, no abnormalities. CV: Chest pain, palpitations, pulse irregular tachycardic, nailbeds pink, peripheral pulses strong, 2+ edema in lower extremities Vitals: HR 162 bpm, respiratory rate 30 breaths per minute, BP 200/100 mmHG. temperature 98.4°F, weight 250 lbs (note: weight has increased by 15 lb since his last check up 1 month ago). Medications: Digoxin 0.125 mg PO QD Multivitamin PO QD ASA 80mg PO QD NURS 198- Nursing Assessment Cardiovascular Case Study (2021) Lopressor 25mg PO QD Plavix 75mg PO QD Diagnostic Studies: CXR: reveals a right lower lobe pleural effusion. Labs: Na-137, K-3.8, Troponin-4.0, BUN-35 mg/dL EKG rhythm strip: +STEMI Answer the following question: 1) State the subjective data. 2) State the objective data and state whether each is normal or abnormal. 3) State at least two nursing diagnoses and your rationale for choosing them. 4) Based on your nursing diagnoses, initiate a care plan, including your interventions and how you will evaluate them, for this patient.