1000: Mr Jefferies is a 59 year old Caucasian male.
1000: Mr Jefferies is a 59 year old Caucasian male. He presents to the ER with c/o substernal chest pain radiating down his left arm, nausea, & shortness of breath.
PMH: Mr Jefferies states that he has a 2 year history of CAD and has been taking S/L nitroglycerine (NTG) for occasional chest pain. He has had controlled HTN for 7 years, Type II diabetes for 3 years, and hyperlipidemia.
History of Present Illness: Prior to arriving in the ER, he began experiencing chest pain at rest. He took 3 NTG tablets with minimal relief. He decided he should go to the ER by personal car.
Social/Personal History: He reports being under a lot of stress, He was divorced 2 years ago and since then been eating out a lot. He has gained a lot of weight and is unable to exercise because of his work schedule. Work has become very stressful and busy. He started smoking at age 16 and reports a 60 pack per year smoking history.
Family History: His father died at age 55 of a heart attack, a brother with HTN, mother died of breast cancer, and sister has no medical history.
Medications:
Glyburide 10 mg po Q AM, 5mg po Q PM
EC ASA 81 mg
Metoprolol 20 mg po twice daily
lisinopril 10 mg po twice daily
Nitroglycerine .4 mg s/l tablets PRN as needed for chest pain
Atorvastatin 20 mg po at night
Q3. The EMT in the ER completes the following 12 – Lead EKG and gives it to you. What does this indicate? What coronary artery could be involved with these changes?
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.