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B.P- 202/124, which indicates a high blood pressure, which is a matter of concern for a patient of his age and can signify heart disease.
R.R- 18/min, which indicates normal breathing.
T- 36.7 degree, which indicates that he was not febrile.
i.Obesity in Mr. X due to the consumption of fatty foods, which can enhance heart problems.
ii.Mr. X had been a chain smoker, which can lead to diseases like COPD and can bring about complications in heart diseases.
iii.Mr. X was suffering from myocardial infarction.
iv.He was having a high blood pressure, which is a matter of concern of his age.
i.Pain, squeezing and heavy sensation in the chest, decreased cardiac output.
ii.Respiratory distress due to inefficient clearing of the airway due to accumulation of the secretions.
iii.Tissue perfusion is decreased, nausea, vomiting, chest pain, sweating, indigestion.
i.Electrocardiogram, for the physical assessment.
ii.Determination of the cardiac markers- there are certain enzymes that lea out of the myocardial cells through the damaged cell membrane of the cardiac muscles. These markers are released into the blood stream.
The commonly used markers are the MB subtype of the enzyme Creatine kinase and the cardiac troponins. Enzymes like SGOT and LDH are also used as cardiac markers.
iii.Chest radiograph can also be used to determine MI.
iv.Histopathological diagnosis can show the condition of the damaged heart muscles.
v.Coronary angiogram to determine obstruction in the heart vessels.
Ans:- Intravenous morphine Sulphate is used in the case of chest pain of uncertain etiology. Morphine reduces the B.P. It slows down the heart rate, thus relieving anxiety. It also helps to lessen the myocardial oxygen demands, depresses the respiration and decreases the oxygenation.
(Ans) Each patient should be assessed prior to the application of the doses and should be monitored regularly for the development of the risks. Proper dose regimen should be followed as different formulations of this drug are not bioequivalent. In case of the elderly patients, the doses should be reduced to half of the normal daily dose for the adults. Patients should not consume alcohol while taking this drug (Motov et al. 2015).
(Ans)The intravenous administration of insulin glucose followed by the subcutaneous insulin therapy helps in improving the life quality of the patient and helps them in the long term survival. Insulin and glucose plays an important role in ischemic reperfusion metabolism. A rise in the availability of the glycolytic substrate increases the synthesis of anaerobic adenosine triphosphate. It helps to reduce the post ischemic cardiac dysfunction.
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