Non- modifiable Modifiable

High fat and Sodium intake

Age (73 yrs. Old) Lifestyle (no exercise)
Diabetes (Hyperglycemia) Lab
Possible familial History Hyperglycemia
(unknown death of 2 Glucose: 7.48
siblings) (high)

Increase blood viscosity Changes in arteriolar Bed Vasoconstriction

Lab

LDL: 2.8 (at

border) Increased Systemic Resistance
Nx Diagnosis

Risk for decreased cardiac output

Medication Increased Afterload related to increased vascular
resistance
Simvastatin

Decreased blood flow to organs

Decreased Renal Perfusion Increased blood pressure Beta- receptor activation

Juxtaglomerular activation

Renin

Angiotensinogen

ACE converts angiotensin I to Angiotensin II

Angiotensin II causes Arteriolar Release Increased Preload
vasoconstriction Aldosterone and afterload Clinical
Manifestation
Increased Heaves
Peripheral Resistance Lab Contraction
High Chloride (109) Na and Water
and sodium (1420 Reabsorption
Left Ventricle S4 sound
Hypertrophy

Increased
Lab
Extracellular fluid
Risk for heart CK-MB 6.6
failure

Nx Diagnosis Clinical Manifestation

Activity intolerance Difficulty breathing at night
r/t generalized (probably at supine position)
weakness and sleep Fatigue
disturbance Weakness
Activity intolerance

Hypertension
Medication Proteinuria Take albumin in the blood Lab
(160/110)
causing Hypoalbuminemia Low Albumin (34), AST (15) and
Captopril
ALT (26)
Metoprolol
Losartan Incompliance to first Lab
prescribed maintenance 1+ protein (urinalysis)

Nx Diagnosis
Possible
Artherosclerosis Ineffective health
management r/t
insufficient knowledge
on the complexity of
Injury of Vascular endothelium therapeutic regimen
 Inflammation

Lab
Attracts monocytes Monocytes
0.067

Ingest lipids

Lipid deposited in arterial wall

Lab Nx Diagnosis
LDL: 2.8 (at Activity intolerance
Oxidation of LDL border) r/t generalized
weakness and sleep
disturbance
Plaque formation Decreased Blood supply

Obstruction of blood flow Myocardial Dysfunction Clinical Manifestation

Extreme Fatigue
Weakness
Growing of lipid core Decreased Cardiac Output Activity intolerance

Clinical Manifestation
Plaque Rupture Clopidogrel
Left arm numbness and
edema, Ecchymosis

Attract platelets
Heparin drip

Lab Lab
Risk for Myocardial
Increased Thrombus
Infarction CK-MB 6.6
PTT
Legend
Etiology
Risk Factors
Disease Process
Complications
Lab Results

Medication/prescribed drugs

Nursing diagnosis
Specific Clinical Manifestations