Mi Case Study Scribd Documents

 

Signs & Symptoms:

- Chest pain (sensationof tightness, pressureor squeezing)-Pain radiating to theshoulders, neck, arms,or jaw-Lightheadedness-Fainting-Sweating-Nausea and vomiting-Shortness of breath-Anxiet

D

iagnostic Procedures:

-

ECG

-

Serial cardiacenzyme (CK-MB,Troponin T and Iand myoglobin)

-

CBC

-

Echocardiography

-

TransesophagealEchocardiography

-

Chest X-ray

-

Nuclear imagingscan (Thallium201 andTechnetium 99m)

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Cardiaccatheterization

ST Segment Elevation MI (STEMI), inferior wall, RV infarct, Killip IV,

D

M, HPN

Modifiable Factors:

-

Diabetes Mellitus-

Diet (high fat and highcarbohydrates)-

Hyperlipoproteinemia-

Hypertension-

Obesity-

Sedentary lifestyle-

Cigarette smoking-

Stress

N

on modifiable Factors:

-

Age-

Gender (male)-

Family history of heart diseaseThrombus fullyoccludes thevessels andinvolves the fullthickness of theventricular wall fora prolonged time(STEMI)Occlusion of theright coronaryartery with rightventricularinfarction (Inferiorwall MI)Imbalanced in myocardial oxygen supply and demandIschemiaCellular injuryCell deathThrombus formation due to ruptured or crackedatherosclerotic plaque

 

INTRODUCTIONA. Background of the Study

This is a case of a 30 y/o, G

1

P

0

who came in due to left back pain. Presentcomplaint started 1 day PTA when P

x

experienced left back pain radiating to thelumbosacral area and difficulty of breathing usually after coughing. Persistent coughingand back pain, P

x

was advised and was admitted in our institution.

B. Rationale for Choosing the Case

The case was studied for the following reasons:1. to know the anatomy and physiology of the lungs2. to know the pathophysiology of pulmonary edema3. to know the appropriate nursing intervention in handling P

x

with pulmonaryedema4. to know the appropriate medical management in caring for patient with pulmonary edema

C. Significance of the Study

This study will be able to help students, specially nursing students to knoweverything about pulmonary edema, thus being able to render proper nursing care andintervention to patients with pulmonary edema. This, if implemented, will make it easier for patients to restore their health. This study may also help student nurses to be moreeffective nurses.

D. Scope and Limitation

This study only engage in the following topics:1. anatomy and physiology of the lungs2. pulmonary edema

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