plz answer with rationale Cardiovascular Disorders 1:3 9 Case Study 3 Class/Grou
ID: 241256 • Letter: P
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plz answer with rationale
Cardiovascular Disorders 1:3 9 Case Study 3 Class/Group Date: Instructions: All questions apply to this case study. Your response should be brief and to the point. Adequate space has been provided for answers. When asked to provide several answers, they isted in order of priority or significance. Do not assume information that is not provided. Please print or write legibly should be You are a nurse at a free-standing cardiac prevention and rehabilitation center. Your new client in risk-factor modification is B.J., a 37-year-old traveling salesman, who is married with 3 children. During a recent evaluation for chest pain (including a cardiac catheterization), he was diagnosed with angina pectoris, given a prescription for SL nitroglycerin, told how to use it, and referred to your cardiac rehabilitation program for sessions 3 days a week. B.J.'s wife comes along to help him with healthy lifestyle changes. You take the following nursing history: B.J.'s father died of sudden cardiac death at age 42 and his mother (still living) had a CABG x 4 (quadruple coronary artery bypass graft of 4 vessels) at age 52; his hypertension is controlled with nifedipine (Procardia) 90 0 9 9 mg PO qd, which he has taken regularly; he has a 35 pack/year smoking history; an occasional beer ("a beer every weekend with the football game"); and a dietary history of fried and fast foods. His current weight is 205 at 5'8"; waist/hip ratio of 1.21. His VS are 132/86, 82, 18, 98.4°FExplanation / Answer
CASE STUDY PRESENTATION:-
GOAL:-
--To change b.j's life style.
-- To reduce b.j's wife towards his diease related crisis.
PAST HISTORY:-
DIAGNOSIS:-
Angina pectoris, Hypertension
TREATMENT:-
Cardiac Catherization for his cheat pain.
MEDICATION:-
(Nitroglycerin)SL for chest pain
Nifidipine(procardia) 90mg p.o
FAMILY HISTORY:-
B.j's father died of sudden cardiac death at age 42. Mother(still living)had a CABG x4(quadruple Coronary artery bypass graft of 4vessels) at age of 52.
PRESENT HISTORY:-
Smoking habits(35pack/year)
Occasional beer(a beer every weekend with the foot ball game)
DIETARY HISTORY:-
Fried and fast foods.
APPEARANCE:-
Weight is 205 at 5'8
Waist/hip ratio of 1.21
VITAL SIGNS:-
blood pressure: 132/86
pulse:82
respiration: 18
temperature: 98.4 F
7, Secondory problem:-
Major problem is weight..
---explain about his cardiac diet,,
---To follow balanced diet includes (furits and veggies)and cardiac exercises..
----To stop junk foods
---To stop smoking and alcohol.
8,PHYCHOLOGICAL SUPPORT:-
Make them calm enough..explain about b.j's present health condition and his vitals.Tell her about his weight management therepy and management..Listen to her calm and respond to them for each questions.Explain about pshcho therepy for her crisis.
Explain about important of pshchotherepy and how it is useful for b.j's and kids..To prevent sleep disturbance also it's useful.
Mention about her sleep disturbances and it's complication afetr this situation.Tell her it is unhealthy for her present situation.Tell her feel free with nurse for any help and talk.
9, PRESENT DIAGNOSIS:
Stress
BY OBSERVATION: He rubs his chest.
STATEMENT:
It feels really heavy on my chest right now.
EVALUATION:
pulse and skin is slightly diaphoretic,he is agitated and anxiety.
TO OBTAIN ADDITIONAL INFORMATION:-
Collect present history
Call cardialogist
Check vital signs
Take ECG
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