Myocardial Infarction Patient ProfileF.M. is a 68-year-old

Myocardial Infarction Patient ProfileF.M. is a 68-year-old white man who comes to the emergency department(ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. The pain increased during the night, but his wife could not convince him to go to the hospital. He comes to the ED today because the pain is severe and no longer relieved by rest. Subjective Data Describes recurring chest pain for the past 6 months that was relieved byrest; the pain is a feeling of heaviness in chest with no radiating painto arm or jaw or accompanying complaints of nausea or dizzinessRecently the chest pain has become severe and is no longer relieved byrest; is now complaining of being slightly nauseatedHis father died of a heart attack at age 62Denies alcohol or drug useSmokes one pack of cigarettes per dayDescribes his lifestyle as sedentary Objective Data Physical ExaminationBlood pressure 180/96, pulse 98, temperature 99.8° F, respirations 20Height 5’11”, weight 210 lbs, BMI 29.3 kg/m2Alert and oriented to person, place, and timeSkin diaphoretic and clammyHeart rhythm regular, no murmurs or extra heart soundsLungs are clear to auscultationDiagnostic StudiesHemoglobin 14 g/dLChemistry panel is normalCardiac markers – pendingElectrocardiogram showing changes that correlate with non-ST-segment-elevation myocardial infarction (NSTEMI) MICollaborative Care0.9% NaCl infusing into IV catheter at 75 mL/hrNitroglycerin and morphine given with relief of pain 1. What are F.M.’s modifiable risk factors for coronary artery disease(CAD)? What are his nonmodifiable risk factors? 2. What is the difference between chronic stable angina pain and pain associated with myocardial infarction? 3. What diagnostic studies are indicated for F.M.? 4. What is the priority nursing care for F.M.? 5. What other interventions do you anticipate for F.M. at this time? 6. What are common complications after an MI? 7. Prior to F.M.’s discharge from the hospital after having an MI, whatpatient teaching should he receive? 8. Would F.M. benefit from any referrals and why?

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