Describe a patient presenting with a myocardial infarction

What it is?

Signs/symptoms,

How the patient with this condition would present,

Medication that may be used, why it is being used and what type of med it is.

Is there a particular concern in caring for the patient, such as safety, mobility, special equipment, etc.?

What would you teach the patient and/or family and why?

MODEL ANSWER

A 55 year old man presented to the Accident and Emergency Unit of his local district general hospital complaining of 2 h of central ‘crushing’ chest PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER had begun shortly after dinner and was more severe than any pain he had previously PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER  wife explained that for the last 4 months he had been having episodes of ‘indigestion’ at work which were only partially relieved by self-administered antacid PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER had first rung their General Practitioner but he had advised them to call for an ambulance PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER  past medical history included a diagnosis of hypertension 8 years earlier and a hernia repair 3 years PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER was also diagnosed as having a duodenal ulcer at endoscopy 2 years earlier but this had responded well to a course of PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER the time of admission his only relevant drug history was nifedipine 20 mg twice PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER family history included the sudden death of his father aged 55 years PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER was also known that his mother was hypertensive, his elder brother had angina and that his paternal grandmother had type 2 diabetes PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER was married with two sons and worked as a bus PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER was a regular smoker (20 per day) and consumed approximately 16 units of alcohol per week……PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER…….

Myocardial infarction can be defined from a number of different perspectives related to clinical, electrocardiographic (ECG), biochemical and pathologic PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER is accepted that the term myocardial infarction reflects death of cardiac myocytes caused by prolonged PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER ECG may show signs of myocardial ischaemia, specifically ST and T changes, as well as signs of myocardial necrosis, specifically changes in the QRS PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER working definition for acute evolving myocardial infarction in the presence of clinically appropriate symptoms has been established as (1) patients………….PLACE ORDER FOR A COMPLETE AND CUSTOMIZED ANSWER………

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