Ms. Sunshine, a 54-year-old African American woman, is diagnosed with coronary artery disease (CAD). Her main coronary artery is 90% occluded. The resulting decrease in blood flow provides insufficient oxygen for the production of ATP. There is well-established evidence that early intervention of reopening the occlusion significantly improves the outcome of CAD patients.
Coronary artery disease (CAD).
Mitchell meets his mother at the airport, and he notices that Ms. Sunshine is short of breath and looks very tired and anxious. When he asks her whether she has chest pain, she denies chest pain but admits that she did have some chest discomfort before leaving the Denver airport. Mitchell knows that his mother has hypertension and suspects that she has not been faithful about taking her medications. He calls 911 and takes his mother to the hospital directly, despite Ms. Sunshine’s objections. She admits to him that she has had dyspnea and fatigue for the past week but thought that she might have the flu or that perhaps the long trip had made her tired and caused some breathing problems.
Diagnostic Testing
A. Explain the pathophysiological basis for the signs, symptoms, and lab results that are seen in this case. Support your explanation with specific
evidence.
B. Describe the usual treatment(s) and expected effects of such treatment(s) for cases of this nature. Include the initial treatment(s) and
treatment(s) once the patient is stabilized to prepare for discharge.
C. Using your treatment description as a guide, explain the potential complications of this case, including when and why they may occur.
D. Assess the patient’s risk of developing any further chronic conditions or concerns that should be addressed, based on the patient’s background,
health history, and your testing and treatment decisions.
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