Diagnosed with myocardial infarction

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Reference no: EM133846464

Case Study

Mr. Heart Mr. Kevin Heart is a construction worker who lives with his wife and 3 children 17-, 14-, and 12-year-old boys. Although his wife works part time Mr. Heart is the family's main source of income. They currently live in the low-income and urbane side of the city. Mr. Heart's primary concern is to keep his kids out of the streets,so he is working extra hoursat work to be able to afford to move out of their current residency to a safer area and to afford paying for his kids' basketball teams to keep them off the streets. Consequently, this is very stressful for him which leads him to not pay much attention tohis health and he continues to smoke as a coping mechanism. However, he greatly cares for his kids and is passionate about basketball and currently coaches his eldest son's basketball team. The whole family is at the championship basketball game when suddenly...Who is patient Kevin Heart?Patient Kevin Heart is a 55 year old African American male with a history of insulin dependent diabetes type II, hypertension, smokes 20 cigarettes daily, and atherosclerotic peripheral vascular disease . Patient Kevin Heart is seen at an outlying hospital with a complaint of chest pain and shortness of breath soon after his son's basketball game approximately 30 minutes ago. Initially he was hesitant to visit the clinic however, his children convinced him to come since further questioning revealed that he had been having more frequent episodes of chest pain for the past week accompanied with shortness of breath.

Mr. Heart was diagnosed with a Myocardial Infarction. ECG also shows that he has a new onset of Atrial Fibrillation with a HR of 89, but BP is currently stable.

1. What orders for the MI do you expect? And why?

2. What other treatments do you expect for his MI? Why?

3. Explain to Kevin Heart what Atrial Fibrillationis (explain the pathophysiology of this rhythm) What is the medical management for this rhythm?

4. What NEW medications can you Mr. Heart expect to start?

5. What information would you make sure to include in your patient education?

Reference no: EM133846464

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