Case Study Ischemic Dilated Cardiomyopathy

Mr. R is a 76yr over-the-hill male who lives with his family, has kicked of daily episodes of breast hurting with palpitation for the withstand 2 months, has been non-compliant with medications for 2 months and has had a decreased oral intake. Mr. R also complained of increased precipitance of breathing place and ineffectual to mobilizes due to being knocked out(p) of breath and felt pall when walking a misfortunate distance, he also complain of burning whilst urination, becomes distressed and so suffers a threat brush up which are eased with reassurance. Mr. R has ebullient sweating at times, at rest, and has also celebrated oer the last 2 months he has overall oaf to his torso and a glum cough with increased palpitations at wickedness and regular travel with blackouts at home Mr. R has a number of lacerations and wound to his head and body from the falls. Mr. Rs past checkup history implicates acute nephritic failure, removal of gallbladder stones, hypertension, angiograms x 3, CABG in 1984, arthritis, prostatic crabmeat with bony metastases, AMI 2004 and panic attacks. Mr. Rs true medications include Slow K, Lasix, Losec, Zoladex, Pravachol, Plavix, Cosudex, Coversyl, and Zyloprim. Mr. R is allergic to morphine At 1345hrs following episodes of vanity pain radioactivity to his left arm since 0100hrs. Mr.

R called an ambulance in which he was deificationed to Hornsby hospital. Mr. R described his chest pain as tightness in his chest and rated pain 8/10 he was precondition 300mcg of anginine and 300mg of aspirin, oxygen was applied, the pain was relieved slightly, evaluation the pain 6/10 then 1/10 enroute to hospital. On reaching to Hornsby Hospital at 1410hrs, Mr. R was hypotensive 80 systolic, he was given a 250ml bolus of figure saline, an cardiogram was recorded which showed Mr. R was infracting, Clopidogrel 300mg per oral was given and heparin 5000unit via endovenous infusion was commenced, imperative transport was organized, at 1440hrs Mr. R was transport to Royal due north Shore Hospital emergency...If you inadequacy to ask a effective essay, order it on our website: Ordercustompaper.com

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