This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: Mr. Garcia's chest pain resolved after two sublingual NTG at 3-minute intervals and 2 mg of IV ... (Read 61 times)

haleyc112

  • Hero Member
  • *****
  • Posts: 600
on: Aug 21, 2018
Mr. Garcia's chest pain resolved after two sublingual NTG at 3-minute intervals and 2 mg of IV morphine.
 
  In the cardiac catherization lab he was found to have a totally occluded distal right coronary artery and a 70 occlusion in the left circumflex coronary artery. The left anterior descending was patent. Angioplasty of the distal right coronary artery resulted in a patent infarct-related artery with near normal flow. A stent was left in place to stabilize the patient and limit infarct size. Left ventricular ejection fraction was normal at 42, and a posterobasilar scar was present with hypokinesis. Explain angioplasty and stent placement. What is the purpose of this medical procedure?

Question 2

Estimate Mrs. Washington's energy and protein requirements. Should weight loss or weight gain be included in this estimation? What is your rationale?
 
  What will be an ideal response?


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ms_sulzle

  • Sr. Member
  • ****
  • Posts: 320
Reply #1 on: Aug 21, 2018
Answer to Question 1

 Angioplasty is a non-invasive procedure used to open narrowed or blocked blood vessels of the heart.
 A tiny deflated balloon attached to special tubing is threaded up to the coronary arteries, where the balloon is inflated to widen blocked areas, allowing increased blood flow to the heart muscle.
 It is often combined with implantation of a stent to help prop the coronary artery open and decrease the chance of another blockage.
 A stent is a metal wire mesh tube placed over the balloon.
 When the balloon is inflated, the stent expands, locks in place, and holds the artery open.

Answer to Question 2

 Women: RMR = (9.99 x 84.1) + (6.25 x 157.48)  (4.92 x 77)  161
RMR = 1349.2 kcal (AF 1.2) = 1619 or about 1500-1700 kcal
 Protein requirements  0.8-1.0 g/kg = 67-84 grams
 Even though her BMI places her in the obese category, weight loss is not recommended at this time.
 She is at risk for decreased oral intake so weight maintenance should be the goal at this time.


haleyc112

  • Hero Member
  • *****
  • Posts: 600
Reply #2 on: Aug 21, 2018
Thank you!


ms_sulzle

  • Sr. Member
  • ****
  • Posts: 320
Reply #3 on: Aug 21, 2018
Always glad to help...


« previous next »
 

Did you know?

Human neurons are so small that they require a microscope in order to be seen. However, some neurons can be up to 3 feet long, such as those that extend from the spinal cord to the toes.

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u
Sublingual drug administration. Sublingual drug administration.
Stand in a doorway and hook your fingertips on both sides about chest level or lower. Stand in a doorway and hook your fingertips on both sides about chest level or lower.
Draping for massage of arm. A. Hold arm to side and tuck drape at ribs. B. Lift arm across chest and ... Draping for massage of arm. A. Hold arm to side and tuck drape at ribs. B. Lift arm across chest and ...
Neural pathways for pain Neural pathways for pain
Video: Regulation of GFR: autoregulation via tubuloglomerular feedback, neural & hormonal regulation

For a complete list of videos, visit our video library