Highlights
Assignment Outline
George is a 68-year-old man who works as the janitor at the local school. George is overweight and has been trying to lose weight and cut down on take-away food after he saw his doctor a month ago. George is prescribed cilazapril 5mg daily for his blood pressure plus simvastatin 40mg at night. Today he was admitted to the Coronary Care Unit with a confirmed myocardial infarction and requiring a triple bypass due to atherosclerotic blockages.
George presented with the following measurements, signs and symptoms:
• Heart rate: 104 beats per minute
• Blood-pressure: 104/88 mmHg
• Capillary refill time: ~5 seconds
• Respiratory rate: 18 breaths per minute
• SpO2 92% on 2L/min O2
• Laboratory blood findings at admission were hyperkalaemia (6.4 mmol/L), lactic acidosis (3.8 mmol/L) with a blood sample taken twenty-eight hours following onset of symptoms indicating raised serum Troponin T (227 ng/L).
In 300 words or less describe the pathophysiological mechanisms that are responsible for the signs and symptoms that George has presented with.
This assignment assesses the course learning objective
1. Critically interpret research and evidence of pathophysiological processes.
2. One diagram, flow diagram or table of no more than 100 words can also be included.
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