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EL age: 68 - Coggle Diagram
EL age: 68
meds
aspirin 324 mg now, PO
heparin sodium, IVP, 60 units/kg once now - 7320untis/kg
lactated ringers- IV 30ml//hr
metoprolol 5mg now IV
1ml/min
nitroglycerin in D5W 5mcg/min IV. titrate Q5 up to 20mcg/min based on clinical response
nitroglycerin 0.4 mg sublingual 2 5 min for up to 3 doses
clopidogrel- 600mg PO
morphine sulfate 4mg IVP PRN
NS flush PRN line maintenance
complications
stroke- atherosclerosis
inadequate perfusion and damage to tissues
MI
HF
CAD
pneumonia
continued monitoring
monitor for desire to quit smoking
monitor O2 sat r/t pleural effusion and SOB
monitor work of breathing
monitor for further tissue damage (BNP and troponin)
labs/ diagnostics
elevated LDL and triglycerides
BNP 1180- heart failure
troponin - 1.9
damage to the tissues
chest x-ray
interstitial edema, small pleural effusion
home meds
lipitor/ atorvastatin - 20mg PO Q eve
reduction of LDL and triglycerides
diagnosis: SOB, fatigue
nursing diagnosis: impaired oxygenation r/t SOB AEB pleural effusion