Mr. MI has been admitted to the ICU after arriving to the ED…

Question Answered step-by-step Mr. MI has been admitted to the ICU after arriving to the ED… Mr. MI has been admitted to the ICU after arriving to the ED complaining of severe gastric pain for three days. He has a history of HTN, CAD, and GERD. He attempted to get relief from his symptoms by eating two rolls of TUMS per day. His wife talked him into coming to be seen this morning after he woke up sweating profusely and had SOB.He was immediately moved to a room in the ED and a STEMI was found on EKG. 100% blockage was found in three vessels per heart catheterization. Angioplasty was unable to be performed due to the instability of the patient. Appropriate assessment was done and tPa was administered pending possible surgical intervention for a CABG. Three hours after admission, the vital signs change to the following values:BP 92/48 P 124 RR 26 T 99.0 Sat 93% Pain level 3/10Norepinephrine is ordered at 4mcg/kg/min. Mr. MI has been weighed at 254 lbs.  Question 1: What form of shock is developing in your patient and what is your rationales? Question 2: What is the pathophysiology of this type of shock? What anatomical structure do you suspect is involved? Question 3: What other symptoms would you suspect with the process? Why would they occur? Question 4: Besides CABG and PCI, what interventions would be considered for your patient? Question 5: What is the pump setting you would need to provide the dosage ordered for the norepinephrine? Health Science Science Nursing NURSING NUR 265 Share QuestionEmailCopy link Comments (0)