Case Study of Patient with ACS_CAD_CABG.

Case Study of Patient with ACS_CAD_CABG. Scenario Your patient, 58-year-old K.Z., has a significant cardiac history. He has long-standing coronary artery dis- ease (CAD) with occasional episodes of heart failure (HF). One year ago, he had an anterior wall myocar- dial infarction (MI). In addition, he has chronic anemia, hypertension, chronic renal insufficiency, and a recently diagnosed 4-cm suprarenal abdominal aortic aneurysm. Because of his severe CAD, he had to retire from his job as a railroad engineer about 6 months ago. This morning, he is being admitted to your telemetry unit for a same-day cardiac catheterization. As you take his health history, you note that his wife died a year ago (at about the same time that he had his MI) and he does not have any children. He is a current cigarette smoker with a 50–pack-year smoking history. His vital signs (VS) are 158/94, 88, 20, and 97.2 ° F (36.2 ° C). As you talk with him, you realize that he has only a minimal understanding of the catheterization procedure.