A 65-year-old female with stable ischemic heart disease presented for a routine primary care visit. Two...
A 65-year-old female with stable ischemic heart disease presented for a routine primary care visit. Two years earlier the patient underwent a cardiac catheterization procedure to diagnose recurring symptoms of angina, anxiety, and panic. Detecting a blockage in the patient's right coronary artery, her cardiologist inserted a drug-eluting stent during the procedure. The patient's recent history indicated normal measures of renal function and left ventricular systolic function (ejection fraction: 60%), no hypertension or diabetes, and well-managed cholesterol levels (LDL-cholesterol: 65 mg/dL). Her current medications include atorvastatin (80 mg per day) and aspirin (162 mg per day). The patient's 72-year-old husband recently survived a severe myocardial infarction, which caused heart failure and significant disability. His current medications include lisinopril, an angiotensin-converting enzyme (ACE) inhibitor. Concerned about her risks for heart attack, the patient asked the office's physician assistant whether she might benefit from any other medicines, in addition to her prescribed statin and aspirin. What do you advise her?
Homework Answers
The following are the advice necessary for this patient
- psychological support
- health education on the disease condition and medication, making her clear that this is the recommended and right medication
- life style modification
- Exercise regularly
- Side effects of extra medicines which is not needed
- Encourage to do meditatation
- Help to identify the benefits of the medication prescribed
- Provide her knowledge about the complication and inform to report to healthcare professionals about it
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A 65-year-old female with stable ischemic heart disease
presented for a routine primary care visit. Two...
CASE STUDY: A 65-year-old female with stable ischemic heart disease presented for a routine prima... CASE...
CASE STUDY: A 65-year-old female with stable ischemic heart disease presented for a routine prima... CASE STUDY: A 65-year-old female with stable ischemic heart disease presented for a routine primary care visit. Two years earlier the patient underwent a cardiac catheterization procedure to diagnose recurring symptoms of angina, anxiety, and panic. Detecting a blockage in the patient's right coronary artery, her cardiologist inserted a drug-eluting stent during the procedure. The patient's recent history indicated normal measures of renal function and...
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April Smith, an 82-year-old female client, is at the independent living facility and had planned on...
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participating in exercise (explain your reasoning) and what is the
recommended intensity of exercise.
Box 21 Case Studies to Determine Need for Exercise Preparticipation Medical Clearance CASE STUDY I A 50-yr-old nonsmoking male was recently invited by colleagues to participate in a 10-km trail run. He reports currently walking 40 min on Monday, Wednesday, and Friday — something he has done for years." His...
Mrs. M is a 68-year-old African-American female who came to the clinic due to progressive lethargy, dizziness and fatigue that began approximately three months ago. She also complains of shortness of breath, fatigue, cool lower extremities, and a beefy red tongue. She has a past medical history of type Il diabetes mellitus (DM), hypertension (HTN), coronary artery disease (CAD), and osteoporosis. She is allergic to sulfa drugs with the reaction of hives when she took the medication four years ago....
ase Bertha is a 65 year old Caucasian female with an admission height of 5'4" and weight of 135 lb. was admitted with a severe episode of CVA. Considering that her recent CVA affected her speech, she was unable to communicate her weight and diet intake history to the admitting nurse. Within 24 hours, her attending primary care physician placed orders for a complete metabolic panel, Mechanical Soft/Cardiac Diet, speech consult, and nutrition consult. Upon completion of the speech pathology...
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