Download Evaluating and Managing Cardiovascular Conditions and more Exams Nursing in PDF only on Docsity! NRNP 6531 NRNP 6531 Week 4 Assignment; i-Human Case Study; Evaluating and Managing Cardiovascular Conditions Complete Solution Guide, A+ Rated NRNP 6531 Primary Diagnosis and ICD-10 Code: I20.8- Angina PectorisE78.5- 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 report85025- CBC with differential 80061- Lipid panel 80048- BMP 83036- Hemoglobin (Hb) A1c Additional Laboratory and Diagnostic Tests: Consider a Computerized Tomography CoronaryAngiography 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 progressionto lessen event occurrence that could result NRNP 6531 1. Abdominal aortic aneurysm one-time screening- he is approaching the age of 65 andcurrently possess most of the risk factors associated with the development of an abdominal aortic aneurysm. 2. Cholesterol screening- his cholesterol was elevated during this visit; therefore he willneed frequent monitoring, especially since medication has been added to control the cholesterol. 3. Lung cancer screening- Mr. MacIntyre is 62 years old with a history of smoking 50 packs/year and currently cutting back to 1 pack/day; therefore placing him a risk fordevelopment of lung cancer (Healthcare.gov, 2020). Patient Education: Maintain a healthy weight while following a heart healthy diet. Avoid smoking and decrease alcohol intake. Because of Aspirin regimen, be mindful of easy bleeding or signs of gastrointestinal bleeding, such as dark, tarry stools. Simvastatin can cause Rhabdomyolysis, the breakdown of skeletal muscle tissue that can result in kidney failure. Notifydoctor or go to the ER if you experience the following: abdominal pain, loss of appetite, dark urine, have clay- NRNP 6531 colored stools and jaundice of skin or eyes. A common side effect of Nitro stat isheadaches due to the vasodilation of vessels, Tylenol may be taken to relieve the headache. Monitor blood pressure when taking Nitro stat, do not take if the systolic (top) number is below100mmHg. Disposition/Follow-up Instructions: 1. Discharge to home. 2. Follow up with primary care provider in 3 months with lab work (CBC, CMP, Lipid panel and Liver function). If angina doesnot resolve after taking Nitro stat, if pain is severe and radiates to the neck, arm, or back call 911or go to ER. NRNP 6531 References Alaeddini, J. (2018, July 19). Angina pectoris treatment and management. Medscape. https://emedicine.medscape.com/article/150215-guidelines HealthCare.gov. (2020). Preventive care benefits for adults. https://www.healthcare.gov/preventive- care-adults/ Johnson, J. (2018, November 9). Stable angina: Everything you need to know. Medical NewsToday. https://www.medicalnewstoday.com/articles/322142 Osborn, C. O. (2020, February 26). What you should know about hyperlipidemia. Healthline. https://www.healthline.com/health/hyperlipidemia
