NR 603 Week 3 Case Study – Cardiovascular

NR 603 Week 3 Case Study – CardiovascularWhat leads demonstrate the ST depression? Lorene M. EKG demonstrates ST depression through her EKG reading. The noted depression, however is seen specifically in leads I, II, V4, V5. Her EKG also reveals and ST elevation in aVR. When observing and reading the entirety of her EKG, Lorene shows signs of acute coronary artery syndrome (ACS) (Nicole et al., 2017). In ACS, an EKG demonstrates six or more leads with ST depression. However, the ST depression in ACS is typically more significant in leads V4 and V6 when combined with ST elevation in the aVR and with inverted T waves (Nicole et al., 2017). Because of Lorene’s EKG results, she should she be urgently evaluated due to a higher likelihood of coronary artery disease, and death (Jameson et al., 2018). Is Lorene Hypertensive per ACA 2017 Guidelines? Compare the ACA guidelines to JNC 8 guidelines and discuss what treatment you recommend for her BP and why? According to the American College of Cardiology and the American Heart Association’s (ACC/AHA) clinical guidelines for elevated blood pressure, Lorene’s blood pressure is elevated and should be treated (David, 2020). The ACC/AHA guidelines classify elevated blood pressure in the general adult population as any diastolic blood pressure between 130-139 and a systolic blood pressure 80-89 if there is a great than 10% ASVD risk when combined with diabetes or hyperlipidemia (David, 2020). These blood pressures are the lowest that medication treatment should be considered, however, lifestyle modifications as a treatment should be initiated if blood pressure are between 120-129/<80 (David, 2020). This differs from the Joint National Committee 8 (JNC 8), guidelines that categorize hypertension based on blood pressures alone. JNC 8 recommends treatment for patients under 60 years of age if their BP’s are elevated over 140/90 (David, 2020). Using either guideline recommendations as a reference, Lorene is in the hypertensive category and should be treated. Treatment for Lorene according to ACC/AHA guidelines and JNC 8 should include