Carl Shapiro is a 54-year-old male who travels frequently. He was… Carl Shapiro is a 54-y
Carl Shapiro is a 54-year-old male who travels frequently. He was… Carl Shapiro is a 54-year-old male who travels frequently. He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. Chest pain improved with nitroglycerin administration. IV infusion of normal saline was started in the Emergency Department and is running at 25 mL/hour. Ordered lab values are pending. Provider wants to be called as soon as the labs are available. Patient is receiving oxygen at 4 L/min with SpO2 values at 97%. Chest pain was last rated as a “0” following second nitroglycerin dose and nitroglycerine patch 0.4 mg. He has been admitted to the Telemetry Unit. Critical Thinking Questions (7 questions): What cardiac arrhythmia did Mr. Carl Shapiro suddenly developed that required immediate intervention? What is the most important thing to do and why? Explain the pathophysiology of it.Answer: Mr. Carl Shapiro got return of spontaneous circulation (ROSC) after the code blue; Which assessment is the most important to perform that will inform you weather Mr. Carl Shapiro will need only monitoring vs. ICU admission? Explain the pathophysiology of your answer.Answer: Aspirin (ASA) 80mg or 81mg (EC) is a medication that belongs to the NSAID class. Why do you think is it given to cardiac patients instead of other NSAIDs such as Celecoxib (Celebrex) instead? Explain the pharmacology behind it.Answer: How does atherosclerosis contribute to an increased risk for myocardial infarctions (MI)? Explain the pathophysiology behind it.Answer: Mr. Carl Shapiro’s blood pressure is 85/45. What signs and symptoms would you anticipate to see and why?Answer: How would the body compensate for this low blood pressure? Explain the pathophysiology of these compensatory mechanisms. Answer: Mr. Carl Shapiro’s BP still 85/45. Why would lactic acid start to build up? Explain the pathophysiology behind your answer.Answer: Health Science Science Nursing PNUR 205 Share QuestionEmailCopy link Comments (0)
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