Question Answered step-by-step Hangover Harry is a 57-year-old male transported to the ER after… Hangover Harry is a 57-year-old male transported to the ER after c/o squeezing chest pain during an exercise stress test in the outpatient setting. Per the RN at the outpatient testing center, Mr. Harry. began c/o of new onset of squeezing chest pain in epigastric area 5/10, the 12 lead EKG revealed a new onset of sinus tachycardia with ST depression. Mr. Harry stated “I’ve had chest pain several times before, but this felt different!”EMS was called, a repeat 12 lead EKG showed sinus tachycardia, with ST depression. He was given 3 metered doses of NGT spray, 5 mins apart, his chest pain decreased to 3/10 and transported to the ER. Patient has a historyHTN, Type 2 Diabetes, 2 ppd smoker, and great toe amputated on his R foot. Admitting Physician: Dr. West (Internal Medicine)Admission: Telemetry floor Dx: AnginaAllergies: NKAUpon admission your assessment reveals: O2 2L NC, BP 130/90, HR 122 – Sinus Tach, RR 24 Breath sounds are clear bilaterally, O2 Sat pulse ox 92%As Mr. Harry’s RN you plan to use PQRST to assess his angina. Use the patient assessment information given at the beginning of this scenario to complete the PQRST. As the RN what clinical data have you noticed as being clinically significant and why? As the RN what do you suspect is going on with this patient’s symptomatology? The healthcare provider has entered orders for this patient.Indicate the rationale for each order in the chart below. As the RN, how would you prioritize the following orders: After reviewing the orders, are there any orders you would question the healthcare provider about? If so, why? Are there any additional orders you would recommend to the healthcare provider and why? Are there any orders you can delegate to other healthcare providers? If so, list the other healthcare providers that should be involved in this patient’s care? The primary HCP suspects the patient has CAD, what are his risk factors for this disease process? Review the lab and EKG results as the RN how will interpret the results?Ok- no treatment neededE- Expected continued to monitorRT -Recommended treatment/notify healthcare provider Laboratory ResultsLab Results OK- E- RT and recommendation by RNK+3.0 MG1.7 Calcium10.7 Glucose272 Bun44 Creatinine1.5 WBC’s12,000 RBC’s 5,000 HBG10.2 HCT33% Platelets140,000 Troponin0.4 ng.ml CPK- MBpending CPR4 mg/dl 12 lead EKG- HR 108 Sinus Tachycardia with frequent PVC’s with ST depression Hangover Harry was placed on a Heparin and Nitroglycerin IV infusion and remained pain-free overnight. Both infusions were discontinued prior to transporting him to the cath lab. He signed the consent for cardiac catheterization with possible PCI and was transported. What is the rationale for the cardiac catheterization and possible PCI? 2 hours later Mr. Harry is back to the unit, he tolerated the procedure well and the cath lab RN gives you the following report: What complications is Mr. Harry at risk for after the cath/PCI procedure and how will you monitor your patient? Looking at the cardiac catheterization report what does this tell you about this patient’s cardiac function? What discharge teaching will you need to provide for the patient and family? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)