{"id":8700,"date":"2022-08-22T16:14:32","date_gmt":"2022-08-22T06:14:32","guid":{"rendered":"https:\/\/casestudyhelp.com\/sample-questions\/?p=8700"},"modified":"2022-10-13T18:42:28","modified_gmt":"2022-10-13T07:42:28","slug":"cad-case-study-assignment-answers-to-questions","status":"publish","type":"post","link":"https:\/\/casestudyhelp.com\/sample-questions\/cad-case-study-assignment-answers-to-questions\/","title":{"rendered":"CAD Case Study Assignment Answers to Questions"},"content":{"rendered":"

CAD Case Study Assignment Solutions by Professional Experts<\/strong><\/h2>\n

 <\/p>\n

\"Order<\/a><\/p>\n

 <\/p>\n

History of Present Problem:<\/strong><\/h3>\n

Mary Johnson, a 56 year old women, presented to the ED stating that when she woke up this morning she started have some jaw pain and felt \u201ca little short of air.\u201d\u00a0 States she has had 2 weeks of nausea and heartburn and has felt \u201cmore tired\u201d than normal over the past 1-2 months.\u00a0 She stated she has taken omeprazole for 2 weeks and it has not helped her heartburn.\u00a0 Mrs. Johnson currently denies chest pain.<\/p>\n

Personal\/Social History:<\/strong><\/h3>\n

Mrs. Johnson lives at home with her husband. \u00a0She teaches kindergarten at a local school and is active in her community.\u00a0 She has 2 grown children that live out of town.\u00a0 She states she smokes 6 cigarettes a day and rarely has time to exercise.\u00a0 She and her husband eat out at least 2-3 times a week.<\/p>\n

 <\/p>\n

What data from the histories are important, RELEVANT<\/em>, and have clinical significance for the nurse?<\/strong><\/p>\n\n\n\n\n\n\n
RELEVANT Data from the Present Problem:<\/strong><\/td>\nClinical Significance:<\/strong><\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n
RELEVANT Data from the Social History:<\/strong><\/td>\nClinical Significance: <\/strong><\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

What is the RELATIONSHIP<\/em> of your patient\u2019s past medical history (PMH) and current meds?
\n<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (Which medications treat which conditions?\u00a0 Draw lines to connect.)<\/p>\n\n\n\n\n
PMH:<\/strong><\/td>\nHome Meds:<\/strong><\/td>\nPharm. Classification:<\/strong><\/td>\nExpected Outcome:<\/strong><\/td>\n<\/tr>\n
HypertensionHyperlipidemiaHysterectomy<\/p>\n

GERD<\/p>\n

Diabetes Type II<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/td>\n

1. Omeprazole 20 mg daily2. Atorvastatin 40 ng HS3. Lisinopril 20 mg daily<\/p>\n

4. Metformin 500 mg BID<\/p>\n

 <\/p>\n

 <\/td>\n

<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

Patient Care:<\/strong><\/h3>\n\n\n\n\n\n\n\n\n
Current Vital Signs:<\/strong><\/td>\nP-Q-R-S-T Pain Assessment:<\/strong><\/td>\n<\/tr>\n
BP:\u00a0 150\/91<\/td>\nProvoking\/Palliative:<\/td>\nNone\/None<\/td>\n<\/tr>\n
P:\u00a0 95<\/td>\nQuality:<\/td>\nAching<\/td>\n<\/tr>\n
R:\u00a0 24<\/td>\nRegion:<\/td>\n\u201cIn my jaw\u201d<\/td>\n<\/tr>\n
T:\u00a0 97.5<\/td>\nSeverity:<\/td>\n8<\/td>\n<\/tr>\n
O2 Sat:\u00a0 90% Room Air<\/td>\nTiming:<\/td>\nConstant<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

What VS data are RELEVANT<\/em><\/strong> and must be recognized as clinically significant by the nurse?<\/p>\n\n\n\n\n
RELEVANT VS Data:<\/strong><\/td>\nClinical Significance: <\/strong><\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n\n\n\n\n\n\n\n\n\n\n
Current Assessment:<\/strong><\/td>\n<\/tr>\n
GENERAL APPEARANCE:<\/td>\nResting on stretcher, appears anxious.<\/td>\n<\/tr>\n
RESP:<\/td>\nRR equal, appears labored.\u00a0 Shortness of air without exertion noted. \u00a0Lungs clear bilaterally, no adventitious sounds noted.<\/td>\n<\/tr>\n
CARDIAC:<\/td>\nHeart sounds S1\/S2 noted. No murmurs noted. All distal pulses noted 2+.\u00a0 No edema noted.<\/td>\n<\/tr>\n
NEURO:<\/td>\nAlert and oriented x 4.\u00a0 Moves all extremities without difficulty.\u00a0 No weakness noted.<\/td>\n<\/tr>\n
GI:<\/td>\nBowel sounds active x 4 quadrants. No tenderness upon palpation.\u00a0 Pt reports heartburn nausea x 2 weeks. No reports of vomiting.<\/td>\n<\/tr>\n
GU:<\/td>\nNo abnormalities noted.<\/td>\n<\/tr>\n
SKIN:<\/td>\nPink and warm.\u00a0 Skin intact.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

What assessment data are RELEVANT<\/em><\/strong> and must be recognized as clinically significant by the nurse?<\/p>\n\n\n\n\n
RELEVANT Assessment Data:<\/strong><\/td>\nClinical Significance:<\/strong><\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

EKG:
\n<\/strong><\/p>\n

\"CAD<\/a><\/p>\n\n\n\n\n
RELEVANT Results:<\/strong><\/td>\nClinical Significance:<\/strong><\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

Diagnostic Results:<\/strong><\/h3>\n\n\n\n\n\n\n
Basic Metabolic Panel (BMP)<\/strong><\/td>\n<\/tr>\n
\u00a0<\/strong><\/td>\nNa<\/strong><\/td>\nK<\/strong><\/td>\nGlucose<\/strong><\/td>\nBUN<\/strong><\/td>\nCreatinine<\/strong><\/td>\n<\/tr>\n
Current:<\/td>\n136<\/strong><\/td>\n3.2<\/strong><\/td>\n204<\/strong><\/td>\n16<\/strong><\/td>\n1.0<\/strong><\/td>\n<\/tr>\n
Previous result:<\/td>\n140<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/strong>3.8<\/strong>157<\/strong>14<\/strong>0.9<\/strong><\/p>\n

\u00a0<\/strong><\/p>\n\n\n\n\n\n\n
Complete Blood Count (CBC)<\/strong><\/td>\n<\/tr>\n
\u00a0<\/strong><\/td>\nWBC<\/strong><\/td>\nHemoglobin<\/strong><\/td>\nPlatelets<\/strong><\/td>\n\u00a0<\/strong><\/td>\n\u00a0<\/strong><\/td>\n<\/tr>\n
Current:<\/td>\n6.2<\/strong><\/td>\n14.2<\/strong><\/td>\n256<\/strong><\/td>\n\u00a0<\/strong><\/td>\n\u00a0<\/strong><\/td>\n<\/tr>\n
Previous result:<\/td>\n6.1<\/strong><\/td>\n13.9<\/strong><\/td>\n225<\/strong><\/td>\n\u00a0<\/strong><\/td>\n\u00a0<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/strong><\/p>\n\n\n\n\n\n\n
Miscellaneous<\/strong><\/td>\n<\/tr>\n
\u00a0<\/strong><\/td>\nMg<\/strong><\/td>\nTroponin<\/strong><\/td>\nCKMB<\/strong><\/td>\nHgbA1C<\/strong><\/td>\n\u00a0<\/strong><\/td>\n<\/tr>\n
Current:<\/td>\n1.4<\/strong><\/td>\n12<\/strong><\/td>\n8<\/strong><\/td>\n7.2<\/strong><\/td>\n\u00a0<\/strong><\/td>\n<\/tr>\n
Previous result:<\/td>\nN\/A<\/strong><\/td>\n4<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

(6 hours ago)<\/strong>5<\/strong><\/p>\n

(6 hours ago)<\/strong>6.6<\/strong>\u00a0<\/strong><\/p>\n

\u00a0<\/strong><\/p>\n\n\n\n\n\n
\u00a0<\/strong><\/td>\nTotal Cholesterol<\/strong><\/td>\nHDL<\/strong><\/td>\nLDL<\/strong><\/td>\nTriglycerides<\/strong><\/td>\n\u00a0<\/strong><\/td>\n<\/tr>\n
Current:<\/td>\n225<\/strong><\/td>\n42<\/strong><\/td>\n150<\/strong><\/td>\n185<\/strong><\/td>\n\u00a0<\/strong><\/td>\n<\/tr>\n
Previous result:<\/td>\n189<\/strong><\/td>\n50<\/strong><\/td>\n125<\/strong><\/td>\n150<\/strong><\/td>\n\u00a0<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/strong><\/p>\n

What data recognized as clinically significant by the nurse?<\/strong><\/p>\n\n\n\n\n
Relevant Lab Results:<\/strong><\/td>\nClinical Significance:<\/strong><\/td>\nTrend: (Improving\/Woresening\/Stable)<\/strong><\/td>\n<\/tr>\n
\u00a0<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

Clinical Reasoning:<\/strong><\/h3>\n
    \n
  1. What is the primary problem that your patient is most likely presenting?<\/li>\n
  2. What is the underlying cause\/pathophysiology of this primary problem?<\/li>\n
  3. What interventions will you initiate based of these priorities? Make sure to LIST AND EXPLAIN at least 6.<\/li>\n<\/ol>\n

    Mrs. Johnson is rushed to the cardiac catheterization lab where it is found she has 2 major cardiac blockages.\u00a0 Going through her left radial artery, the physician places 2 new stents.\u00a0 After the patient is recovered in the cath lab, she is then admitted to the telemetry unit in the hospital.<\/p>\n

      \n
    1. What nursing assessment(s) will you need to initiate immediately post-operative for the patient from cath lab? Explain at least 4.<\/li>\n<\/ol>\n
        \n
      1. Johnson has the following post-operative medications ordered. Please explain the rationale for each:\n
          \n
        1. Nitroglycerin 0.4 mg SL every 5 minutes x 3 doses PRN chest pain<\/li>\n
        2. Metoprolol tartrate 12.5 mg PO BID<\/li>\n
        3. Eliquis 5 mg PO BID<\/li>\n
        4. Brilinta 90 mg PO BID<\/li>\n
        5. ASA 81 mg PO daily<\/li>\n<\/ol>\n<\/li>\n
        6. What are the most important discharge\/education priorities you will reinforce with the patient to prevent future admissions with the same problem?<\/li>\n
        7. What is the patient likely experiencing\/feeling right now?<\/li>\n<\/ol>\n

           <\/p>\n

          \n

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