Case Study Ischemic Dilated Cardiomyopathy

Mr. R is a 76yr old male who lives with his family, has complained of daily episodes of pectus disquiet 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 steepness of breathing place and unable to mobilizes due to being kayoed of breath and felt fatigued when walking a brusk distance, he also complain of burning whilst urination, becomes distressed and whence suffers a panic attack which are relieved with reassurance. Mr. R has ebullient sweating at times, at rest, and has also observe oer the last 2 months he has overall projection 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 nephritic failure, removal of gallbladder stones, hypertension, angio grams x 3, CABG in 1984, arthritis, prostate gland crabmeat with bony metastases, AMI 2004 and panic attacks. Mr. Rs electric current 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 incommode radiation to his left weapon since 0100hrs. Mr.

R called an ambulance in which he was deificationed to Hornsby hospital. Mr. R described his federal agency pain as tightness in his chest and rated pain 8/10 he was abandoned 300mcg of anginine and 300mg of aspirin, oxygen was applied, the pain was relieved slightly, evaluation the pain ! 6/10 because 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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