The client is a 67-year-old female. She was attending a family cookout. At approximately 2 p.m., she experienced what she described as “nausea with some heartburn.” She took an antiacid for the discomfort. After about two hours, her heartburn was more of a “dull pain that seemed to spread to my shoulders.” She also complained of “a little shortness of breath” at this time. Her son then called the ambulance.
Vital signs are: BP 160/84, HR 118, RR 28, T 99.3o F, SaO2 94%. Lab results are K+ 4.0 mEq/L, creatine kinase (CK) 157 µ/L, CK-MB 7.6 ng/mL, and troponin I 2.8 ng/mL. Stools are negative for blood.
Select the relevant cues from the case study.
Select the relevant cues from the case study.
Analyze or interpret all the cues from #1 and explain why they are important.
List potential complications or consequences of cues listed in #1, as appropriate.
Determine what is most likely happening in the case study.
Based on the cues, the analysis, and what is most likely happening in this scenario, what are the priority needs for this client?
What outcomes are essential for the client?
Are there any solutions or interventions that may be harmful regarding the outcomes from #5? If so, what are they?
What solutions or interventions will meet the outcomes from #5?
Prioritize the solutions or interventions listed in #7 and provide the rationale.
What outcomes would indicate the solutions or interventions were successful?
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