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Acute Coronary Syndrome, STEMI, Anterior Wall, Killips - 1, DM Type II - Uncontrolled

Acute Coronary Syndrome, STEMI, Anterior Wall, Killips - 1, DM Type II - Uncontrolled

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Published by Jai - Ho
the 3AM file.:)
the 3AM file.:)

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Published by: Jai - Ho on Jul 13, 2011
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 A Case Study on Acute Coronary Syndrome, ST Elevation Myocardial Infarction, Anterior Wall, Killips – 1, Diabetes Mellitus Type II - Uncontrolled 
Acute Coronary Syndrome is defined as a spectrum of conditions involving chestdiscomfort or other symptoms caused by lack of oxygen to the heart muscle (themyocardium). The unification of these manifestations of coronary artery disease under asingle term reflects the understanding that these are caused by a similapathophysiology (sequence of pathologic events) characterized by erosion, fissuring, or rupture of a pre-existing plaque, leading to thrombosis (clotting) within the coronaryarteries and impaired blood supply to the heart muscle. It encompasses a range of thrombotic coronary artery diseases, including unstable angina and both ST-segmentelevation and non–ST-segment elevation myocardial infarction. Diagnosis requires anelectrocardiogram and a careful review for signs and symptoms of cardiac ischemia. Inacute coronary syndrome, common electrocardiographic abnormalities include T-wavetenting or inversion, ST-segment elevation or depression (including J-point elevation inmultiple leads), and pathologic Q waves. If prompt actions are not done complicationssuch as Myocardial Infarction may take place. (http://www.mayoclinic.com/health/acute-coronary-syndrome/DS01061/DSECTION=symptoms)The risk factors for acute coronary syndrome are similar to those for other typesof heart disease. It includes Older age (older than 45 for men and older than 55 for women), high blood pressure, high blood cholesterol, cigarette smoking, lack of physicalactivity, type 2 diabetes, family history of chest pain, heart disease or stroke. Signs andsymptoms include Chest pain (angina) that feels like burning, pressure or tightness andlasts several minutes or longer, Pain elsewhere in the body, such as the left upper armor jaw (referred pain), nausea, vomiting, shortness of breath (dyspnea), and sudden,heavy sweating (diaphoresis) (http://www.mayoclinic.com/health/acute-coronary syndrome/DS01061/DSECTION=symptoms)According to the morbidity rate, taken from the records of the Department of Health for region X, the occurrence of cardiovascular diseases per 100,000 populationsis 3,356. This data is taken from the 2001-2005, a 5 year-average record. While theoccurrence rate for cardiovascular disease for region X by 2006 is recorded to be 4,373per 100,000 populations.(http://www.dh.gov.uk/en/index.htmhttp://www.dh.gov.uk/en/index.htm)On the other hand, Diabetes Mellitus is a condition in which the pancreas nolonger produces enough insulin or cells stop responding to the insulin that is produced,so that glucose in the blood cannot be absorbed into the cells of the body. Symptomsinclude frequent urination, lethargy, excessive thirst, and hunger. The treatmentincludes changes in diet, oral medications, and in some cases, daily injections of insulin.
 A Case Study on Acute Coronary Syndrome, ST Elevation Myocardial Infarction, Anterior Wall, Killips – 1, Diabetes Mellitus Type II - Uncontrolled 
The most common form of diabetes is Type II, It is sometimes called age-onsetor adult-onset diabetes, and this form of diabetes occurs most often in people who areoverweight and who do not exercise. Type II is considered a milder form of diabetesbecause of its slow onset (sometimes developing over the course of several years) andbecause it usually can be controlled with diet and oral medication. The consequences of uncontrolled and untreated Type II diabetes, however, are the just as serious as thosefor Type I. This form is also called noninsulin-dependent diabetes, a term that issomewhat misleading. Many people with Type II diabetes can control the condition withdiet and oral medications, however, insulin injections are sometimes necessary if treatment with diet and oral medication is not working. Diabetes is the third leadingcause of death in the United States after heart disease andcancer .(http://www.medicinenet.com/diabetes_mellitus/page4.htm#tocf )
 A Case Study on Acute Coronary Syndrome, ST Elevation Myocardial Infarction, Anterior Wall, Killips – 1, Diabetes Mellitus Type II - Uncontrolled 
This case study tackles about Acute Coronary Syndrome specifically on the caseof patient JB. It includes essential concepts in relation to the said condition such as thepatient’s profile and health history, nursing assessment and clinical manifestations, drugstudy and diagnostic exams done. The anatomy and physiology is also included as wellas the pathophysiology of Acute Coronary Syndrome with its associated factors. TheMedical and Nursing Management along with the discharge plans and other relevantdata are also being covered.The scope of the plan encompasses during the course of duty last June 29, 30and July 1 of year 2011 wherein the assigned students who have assessed the clientwith cumulative interaction and good rapport to the patient and significant others.Nursing Management covers the above mentioned dates which encompasses theclient’s Recovery Phase. Data gathering about the Laboratory results covers from June29 to 30, 2011The areas of concerns are limited to the discussions of Acute CoronarySyndrome with uncontrolled diabetes type II and the quality of Nursing Care to thepatient. The quantity and quality of the information are limited to the data gathered fromthe client, significant others and his medical records.
The study aims to explore the concepts about the condition and the quality of nursing care being rendered to our client that was diagnosed with Acute CoronarySyndrome and uncontrolled diabetes type II.In order to learn more about the health condition of the patient, the study wantsto fathom about the predisposing and precipitating factors, anatomy and physiology andthe pathophysiology of the condition experienced by the client. Basically, the main goalof this study in relation to knowledge is to identify the nursing interventions after thecondition of patient.The study aims to critically analyze the qualitative and quantitative data gatheredin order to establish connection between the different manifestations experienced by thepatient with that of the disease process. To be able to improve skills, the students alsoendeavors to come up with nursing care plans that will alleviate patient’s condition. Thepresentors also intend to compare and contrast the ideal management for Acute

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