You know that G.P. has atherosclerosis of the coronary arteries. You need to know his risk factors for CAD to plan teaching for lifestyle modifications.
What will you ask him about?
Question 2What are common sites for radiation of ischemic cardiac pain?
What will be an ideal response?
Question 3It 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?
Question 4You also include teaching about digoxin toxicity. When teaching J.M. about the signs and symptoms of digoxin toxicity, which should be included? Select all that apply.
a. Dizziness when standing up
b. Visual changes
c. Loss of appetite or nausea
d. Increased urine output
e. Diarrhea
Question 5You tell J.M. that the combination of high-sodium foods he had during the past several days might have contributed to his present episode of HF. He looks surprised. J.M. says, But I didn't add any salt to them
To what health care professional could J.M. be referred to help him understand how to prevent future crises? State your rationale.
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