Nursing – George Case Study – Report Writing Assessment Answer

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George Case Study Assessment Answer

Assignment Task:

George  Case Study –

George is a 45 year old male of Greek descent, he is currently married with one son of 13 years of age and two daughters of 15 and 17 years old. George’s dad passed away from a “heart attack” at the age of 42 when George was a teenager. His mother recently passed away after a stroke this year. His last remaining uncle had a “heart surgery after his heart attack when he was 55 years old”. George currently works in a high stress management position at the airport, he coaches his sons soccer team and also plays soccer on a Sunday but doesn’t participate in any other exercise. Georges body mass index is currently at 29 and his waist circumference is 100cm.

George presents to his GP complaining of flu like symptoms. The GP took his blood pressure and found it to be 174/100. Auscultation of his chest was clear. The GP ordered further testing for George including blood pathology tests.

George was called back to the GP to discuss the blood results that had come back, his BP remained elevated at 167/100. The blood results included serum serum cholesterol 7.2 mmol/L, LDL 6.2, HDL 0.7 and fasting triglyceride 5.9 mmol/L. The GP made suggestions for lifestyle modifications that George could commence.

The following week George returned home early from work one day complaining of nausea and severe pain in his back shoulder and arm, his wife became concerned as he looked “very pale and sweaty” so she drove him to the local ED.

On arrival George was assessed by the triage nurse. Using the PQRST method she confirmed that George was experiencing 9/10 pain in his left posterior shoulder and it was radiating to his left arm. The pain increased on exertion and he was triaged through to resus.

George was ordered an ECG, blood pathology testing, insertion of two large gauge IVC’s, 300mg of aspirin, sublingual GTN stat and PRN IV morphine.

The ECG showed ST elevation in leads V3 and V4 and pathology results showed moderately raised troponin I and T. George was transferred to the coronary catheter laboratory for a primary PCI, where he proceeded to have coronary angioplasty via his right radial artery with 2 x stents inserted to his LAD.

Post-procedure once George was recovered he was transferred to the Coronary Care Unit for continued cardiac monitoring and assessment.

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