Author Question: What are common sites for radiation of ischemic cardiac pain? What will be an ideal ... (Read 109 times)

mikaylakyoung · **on:** Jun 25, 2018

What are common sites for radiation of ischemic cardiac pain?

What will be an ideal response?

Question 2

It is midmorning on the cardiac unit where you work, and you are getting a new patient. G.P. is a 60-yearold retired businessman who is married and has three grown children.

As you take his health history, he
tells you that he began feeling changes in his chest about 10 days ago. He has hypertension (HTN) and
a 5-year history of angina pectoris. During the past week, he has had frequent episodes of mid-chest
discomfort. The chest pain responds to nitroglycerin (NTG), which he has taken sublingually about 8 to
10 times over the past week. During the week, he has also experienced increased fatigue. He states, I
just feel crappy all the time. A cardiac catheterization done several years ago revealed 50 stenosis of
the right coronary artery (RCA) and 50 stenosis of the left anterior descending (LAD) coronary artery.
He tells you that both his mother and his father had coronary artery disease (CAD). He is currently taking
amlodipine (Norvasc), metoprolol (Lopressor), atorvastatin (Lipitor), and aspirin 81 mg/day.

What other information are you going to obtain about his episodes of chest pain?

Rilsmarie951 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Epigastric area, arms and hands (especially left), back (intrascapular area), shoulders, neck, and jaw

Answer to Question 2

Are they accompanied by other signs and symptoms, such as nausea or vomiting, diaphoresis,
shortness of breath, dizziness, weakness, palpitations, or anxiety?
Do they occur during exercise, after eating a large meal, in cold weather, or during periods of
stress? Or do the episodes of chest pain occur during rest?
What is the quality of the pain? Ask him to describe the sensation in his own words. Ask him to rate
the chest pain on a scale of 1 to 10.
How long do the episodes last?
Does the pain radiate to other areas of the body?
How many NTG tablets does he take before the chest pain is relieved?