Myocardial Infarction Case Study Question 1 (recognize cues)…

Questions

Myоcаrdiаl Infаrctiоn Case Study Questiоn 1 (recognize cues) Nurses Notes A 70-year-old male arrives to the ED reporting chest heaviness and difficulty breathing for 2 days. He appears tired but is alert and oriented x 4 and states symptoms are noticed more with activity and subside with rest after a few minutes. He has a past medical history of type 2 DM, hypertension, hyperlipidemia, hypothyroidism and osteoarthritis. Currently smokes 1 pack cigarettes per day x 20 years. His medications include sliding scale insulin aspart prior to meals and at bedtime, insulin glargine at bedtime, lisinopril, atorvastatin, levothyroxine, and naproxen. Current vital signs are pulse (P) 127 bpm sinus tachycardia with frequent PVCs, ECG showing ST elevation in leads V3 and V4, respiration rate (RR) 25 breaths/ min, pulse oximetry reading of 92% on room air, and blood pressure (BP) 92/63 mm Hg (MAP 73). What findings should be of immediate concern to the nurse? Select all that apply.

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