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NRNP 6531 Week 4 Assignment; i-Human Case Study; Evaluating and Managing Cardiovascular Conditions
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NRNP 6531 Week 4 Assignment; i-Human Case Study; Evaluating and Managing Cardiovascular Conditions
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NRNP 6531 Week 4 Assignment; i-Human Case Study; Evaluating and Managing Cardiovascular Conditions!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Primary Diagnosis and ICD-10 Code: I20.8- Angina Pectoris
E78.5- Hyperlipidemia
R94.39- Abnormal result of other cardiovascular function study (Nuclear Stress test)
93000- Electrocardiogram, routine ECG with at least 12 leads: with interpretation and report 85025- CBC with differential
80061- Lipid panel
80048- BMP
83036- Hemoglobin (Hb) A1c
Additional Laboratory and Diagnostic Tests : Consider a Computerized Tomography Coronary Angiography if pain continues or worsens.
Consults: Angina is stable, no consult or referral is needed at this time.
Therapeutic Modalities: Treatment is targeted at symptom relief and decrease disease progression to lessen event occurrence that could result in a myocardial infarction or even death (Alaeddini, 2018). Pharmacological management will include:
1.Aspirin 81 mg one tab daily (Johnson, 2018).
2.Simvastatin 40 mg daily at bedtime (Johnson, 2018).
3.Nitro stat 0.4 mg, 1 sublingual tablet dissolved under the tongue as needed for angina. May repeat every 5 minutes if needed for 15 minutes, a maximum of 3 doses (Johnson,
2018).
Non-pharmacological management will include:
1.Advise patient to quit smoking to decrease the development of atherosclerosis (Alaeddini,
2018).
2.Participate in an exercise program to better control blood pressure and weight, such as
joining a gym, taking walks or biking (Osborn, 2020).
3.Advise patient on the importance of a heart-healthy diet to decrease the “bad” cholesterol
and improve the “good” cholesterol. Diet changes may include eating more fruits and veggies; eat more healthy fats such as chicken and fish; increase fiber and omega-3 such as beans, salmon and walnuts (Osborn, 2020).
Health Promotion: Mr. MacIntyre has many factors that place him at risk for developing a myocardial infarction or early death. Non-Modifiable risk factors include age, race, gender and ethnicity. Modifiable risk factors include smoker, hypertension, and new diagnosis of
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