CAD

Coronary Artery Disease-Case Study

Name:

G.G. is a 62-year-old white male with a 15-year history of CAD and hypertension. He had an anterolateral MI 2 years ago. He also has a history of hyperlipidemia, type 2 diabetes mellitus, and chronic renal insufficiency. His father died of sudden cardiac death at age 44, and his mother died while undergoing a coronary artery bypass graF (CABG) at age 68. His hypertension is treated with hydrochlorothiazide and verapamil (Calan), and he takes meNormin (Glucophage) for control of his diabetes and atorvastaOn for his high cholesterol. He is a current cigarePe smoker with a 45 pack-year smoking history and drinks a beer almost daily. He is 5'10" tall, weighs 209 pounds, and does not regularly exercise. He tries to watch what he eats, but he travels a lot as a computer consultant, and it is difficult to maintain a healthy, diabeOc diet when he is out of town. He presents to the Emergency Department with chest pain not relieved with NTG, associated with N & V.

1. Indicate whether the risk factor is modifiable or non-modifiable.

2. Based on G.G.'s clinical manifestaOons and health history, which diagnosOc tests would best confirm or rule out myocardial damage?

3. He is diagnosed with having a STEMI, what should be included in his plan of care?

4. Based on the ECG below which coronary artery is considered the culprit lesion?

5. Create a nursing care plan for this paOent.