Case Study Ischemic Dilated Cardiomyopathy

Mr. R is a 76yr old male who lives with his family, has complained of daily episodes of pectus of drawers disoblige with palpitation for the last 2 months, has been non-compliant with medications for 2 months and has had a decreased oral intake. Mr. R also complained of increased gruffness of breathing place and unable to mobilizes due to being away of breath and felt fatigued when walking a nearsighted distance, he also complain of burning whilst urination, becomes distressed and thusly suffers a panic attack which are relieved with reassurance. Mr. R has ebullient sweating at times, at rest, and has also renowned oer the last 2 months he has overall jut to his torso and a persistent cough with increased palpitations at wickedness and regular falls with blackouts at home Mr. R has a number of lacerations and bruising to his head and body from the falls. Mr. Rs past medical history implicates acute renal 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 rate of flow 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 bother radiation to his left lace 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 given up 300mcg of anginine and 300mg of aspirin, oxygen was applied, the pain was relieved slightly, evaluation the pai n 6/10 and so 1/10 enroute to hospital. ! On arrival to Hornsby hospital at 1410hrs, Mr. R was hypotensive 80 systolic, he was given a 250ml bolus of normal 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, urgent transport was organized, at 1440hrs Mr. R was transport to Royal North Shore Hospital emergency...If you want to ask a full essay, order it on our website: BestEssayCheap.com

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