Mrs. G Case Study
Read Mrs. G’s scenario to prepare for this discussion.
Brief Patient History: Mrs. G is a 54-year-old African American woman who has been having intermittent indigestion and chest discomfort for the past six weeks. She has a history of hypertension, high cholesterol, and Type II diabetes. While you are examining her, Mrs. G suddenly becomes diaphoretic and complains of nausea and epigastric pain.
Clinical Assessment: She continues to complain of pain in her chest, which now radiates to her neck, arms, and back. She has no shortness of breath.
Diagnostic Procedures
The admission electrocardiogram (ECG) shows ST-segment elevation in II, III, and AVF.Baseline vital signs include the following: blood pressure of 160/90 mm Hg, heart rate of 98 beats/min (sinus rhythm), respiratory rate of 18 breaths/min, temperature of 99° F, and O2 saturation of 94%.
Medical Diagnosis: Inferior myocardial infarction is diagnosed.
In your initial post, respond to the following prompts:
- According to latest JNC guidelines, into what category does the patient’s BP fall?
- Indicate the clinical management of this patient. Include additional diagnostics and medical and surgical options.
- According to latest JNC guidelines, what are some complications to expect?
- Using latest JNC guidelines, how would you prepare the family and the patient if discharged?
- What lifestyle changes might be needed?
LINK TO JNC GUIDELINES: https://www.aafp.org/afp/2014/1001/p503.html