36 year old male with past medical history of cardiac arrest x 3 secondary to an
ID: 3481141 • Letter: 3
Question
36 year old male with past medical history of cardiac arrest x 3 secondary to anabolic steroid use 3 ½ weeks ago presented to the hospital complaining of chest pain. Patient reports that today around 3 p.m. he had an episode of dizziness and lightheadedness along with severe pressure in his chest, radiating to his back. He reported his arms were weak and he was short of breath. He stated that he was also experienced nausea and diaphoresis. He reports that for the next two hours, he continued to experience chest pain and so he came to the ER. EMS reports that he was given Nitroglycerin x 3 and 325 mg of aspirin en route to hospital. 7:08 pm HR 67 bpm BP 142/90 TROPONIN 3.47 (Normal is 0.0-0.9) 8:54 9:28 11:00 Patient admitted to coronary care unit. He continues to have chest pain and troponins are elevated x 2 EKG is attached. Using the scenario above, fill in the blank with the appropriate answer. 1. 2. HR 61 bpm HR 58 bpm HR 58 bpm 8P 144/96 BP 138/83 BP 136/88 TROPONIN 1.60 is a sign -is a symptom 3. Based on the information above, this patient is in which stage of the ischemic cascade (ischemia, injury, or infarction)? What do the troponins indicate? Based on the EKG, interpret the patient's rhythm from the 5 Lead II rhythm strip at the bottom of the EKG.Explanation / Answer
Answer
1. Short of breath is a sign
sign is the feeling of an individual dected by another. here shortness of breath can detected by another person along with individual.
2. Chest pain,dizziness and lightheadedness are symptoms
symptons are type of feeling that can felt by diseased individual. Those are not detected by others.
3. ischemic stage is the injury or damaged or weaken cardiac muscle. these are unable to send the sufficient blood supply that leads to development of different symptoms.
4. troponin is used to detect the heart attack or any other cardiac complications. here condition indicates the cardiac injury or damage to cardiac muscle the cause is unrelated to the heart.
There are two test of troponin that is troponin I and Troponin T test. Troponin is the protein which is present in cardiac muscle. they enters into blood when damage occurs to cardiac muscles.
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