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Sample Answer for 13877_NR 603 Week 3 Case Discussion Cardiovascular FINAL Included After Question
13877_NR 603 Week 3 Case Discussion Cardiovascular FINAL
13877_NR 603 Week 3 Case Discussion Cardiovascular FINAL
Cardiovascular Case Study
Question 1
The leads that demonstrate ST depression include leads V4-V6 (Namdar et al., 2018).
Question 2
According to the ACA guidelines for 2017, the patient has hypertension stage two. This is attributed to the fact that the systolic blood pressure is more than 140 mm Hg while diastolic blood pressure is more than 90 mm Hg. The recommended treatment for the patient’s condition is the use of interventions that include lifestyle modification and initiation of antihypertensive therapy. This is because of her presenting symptoms and daytime ABPM being more than 130/80 mm Hg (Whelton et al., 2017). According to the JNC 8 guidelines, the patient is hypertensive. This is attributed to her being less than 60 years with blood pressure more than 140/90 mm Hg. Based on their classification, the patient should be initiated on anti-hypertensive treatment regardless of age due to be being diabetic (Armstrong, 2014).
Question 3
The primary diagnosis causing the patient’s chest pain is acute coronary syndrome. This is based on her presenting symptoms such as shortness of breath, discomfort radiating to the shoulders, and her back. There is also ST depression in leads V4 to V6. These symptoms arise when exercising and subside when the patient is at rest (Handberg & Anderson, 2017). These symptoms align with those of acute coronary syndrome.
Question 4
The other secondary that should be addressed include obesity, metabolic syndrome, and elevated level of A1C and hyperlipidemia. The increase in the patient’s waist circumference indicated metabolic syndrome. Elevation of her A1C level results in the diagnosis of pre-diabetes. The elevation of her blood pressure also makes her hypertensive. The patients BMI is also high, which indicates obesity.
Question 5
The patient needs to be initiated on anti-hypertensive medications and initiation of lifestyle and behavioral modifications to manage the patient’s health problems. According to JNC 8 hypertension guidelines, the patient should be initiated thiazide, ARB (angiotensin receptor blockers), ACEI (angiotensin converting enzyme inhibitors), or CCB (calcium channel blockers) alone or in combination. The plan of management should be discussed with a cardiologist since the patient is at a risk of developing heart failure. The patient should be referred to tobacco cessation clinic to assist the patient in addressing her tobacco dependence problem. Follow-up should be undertaken after four weeks to determine whether the symptoms have resolved with the prescribed management. The education that should be shared with the patient include smoke cessation, drug adherence, eating healthy, reducing sodium in diet, and engaging in moderate physical activity 3-4 days a week lasting for an average of 40 minutes in every session. The drugs of choice for this patient include angiotensin converting enzyme inhibitors alone or in combination with either calcium channel blockers or a diuretic. The drugs will inhibit over excitation of the heart muscles alongside fluid loss through the renal system with the use of diuretics (Rodriguez-Saldana, 2019). The patient should be encouraged to take diets preferred in her culture that has low fat and sodium.
13877_NR 603 Week 3 Case Discussion Cardiovascular FINAL References
Armstrong, C. (2014). JNC8 guidelines for the management of hypertension in adults. American family physician, 90(7), 503-504.
Handberg, E., & Anderson, R. D. (2017). Acute Coronary Syndrome: Urgent and Follow-up Care (Vol. 3). Cardiotext Publishing.
Namdar, H., Imani, L., Ghaffari, S., Aslanabadi, N., Reshadati, N., Samani, Z., … & Separham, A. (2018). ST-segment depression in left precordial leads in electrocardiogram of patients with acute inferior myocardial infarction undergoing primary percutaneous coronary intervention. Interventional Medicine and Applied Science, 10(4), 191-197.
Rodriguez-Saldana, J. (Ed.). (2019). The Diabetes Textbook: Clinical Principles, Patient Management and Public Health Issues. Springer.
Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Himmelfarb, C. D., … & MacLaughlin, E. J. (2018). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology, 71(19), e127-e248.
A Sample Answer For the Assignment: 13877_NR 603 Week 3 Case Discussion Cardiovascular FINAL
Title: 13877_NR 603 Week 3 Case Discussion Cardiovascular FINAL
13877_NR 603 Week 3 Case Discussion Cardiovascular FINAL Grading Rubric Guidelines
Performance Category | 10 | 9 | 8 | 4 | 0 |
Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic decisions. |
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Performance Category | 10 | 9 | 8 | 4 | 0 |
Application of Course Knowledge –
Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations |
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Performance Category | 5 | 4 | 3 | 2 | 0 |
Interactive Dialogue
Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. (5 points possible per graded thread) |
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Summarizes what was learned from the lesson, readings, and other student posts for the week. |
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Minus 1 Point | Minus 2 Point | Minus 3 Point | Minus 4 Point | Minus 5 Point | |
Grammar, Syntax, APA
Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition |
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0 points lost | -5 points lost | ||||
Total Participation Requirements
per discussion thread |
The student answers the threaded discussion question or topic on one day and posts a second response on another day. | The student does not meet the minimum requirement of two postings on two different days | |||
Early Participation Requirement
per discussion thread |
The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. | The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT. |