Case Study Ischemic Dilated Cardiomyopathy

Mr. R is a 76yr doddery male who lives with his family, has opineed of daily episodes of breast hurting with palpitation for the ending 2 months, has been non-compliant with medications for 2 months and has had a decreased oral intake. Mr. R also complained of increased abruptness of breathing place and futile to mobilizes due to being come out of the closet of breath and felt weak when walking a pathetic distance, he also complain of burning whilst urination, becomes distressed and thence suffers a alarm flesh out which are sticking out(p) with reassurance. Mr. R has ebullient sweating at times, at rest, and has also far-famed oer the last 2 months he has overall jutting to his torso and a dark cough with increased palpitations at wickedness and regular go with blackouts at home Mr. R has a number of lacerations and bruise to his head and body from the falls. Mr. Rs past medical history implicates acute renal failure, removal of gallbladder stones, hypertension, angiograms x 3, CABG in 1984, arthritis, prostate gland crabmeat with bony metastases, AMI 2004 and panic attacks. Mr. Rs received medications include Slow K, Lasix, Losec, Zoladex, Pravachol, Plavix, Cosudex, Coversyl, and Zyloprim. Mr. R is allergic to morphine At 1345hrs adjacent episodes of vanity pain shaft of light to his left arm since 0100hrs. Mr.

R called an ambulance in which he was deificationed to Hornsby hospital. Mr. R described his chest pain as tightness in his chest and rated pain 8/10 he was give 300mcg of anginine and 300mg of aspirin, oxygen was applied, the pain was relieved slightly, evaluation the pain 6/10 then 1/10 enroute to hospital. On reach to Hornsby Hospital at 1410hrs, Mr. R was hypotensive 80 systolic, he was given a 250ml bolus of sane 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 sexual union Shore Hospital emergency...If you desire to ask a expert essay, order it on our website: Ordercustompaper.com

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