NURS 351 Angina and MI case study

Patient Profile F.M. is a 68-year-old white man who comes to the emergency department (ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. The pain increased during the night, but his wife could not convince him to go to the hospital. He comes to the ED today because the pain is severe and no longer relieved by rest. Subjective Data  Describes recurring chest pain for the past 6 months that was relieved by rest; the pain is a feeling of heaviness in chest with no radiating pain to arm or jaw or accompanying complaints of nausea or dizziness  Recently the chest pain has become severe and is no longer relieved by rest; is now complaining of being slightly nauseated  His father died of a heart attack at age 62  Denies alcohol or drug use  Smokes one pack of cigarettes per day  Describes his lifestyle as sedentary Objective Data Physical Examination  Blood pressure 180/96, pulse 98, temperature 99.8° F, respirations 20  Height 5’11”,weight 210 lbs, BMI 29.3 kg/m2  Alert and oriented to person, place, and time  Skin diaphoretic and clammy  Heart rhythm regular