NURS90129 - Considering Kate’s Presentation - Case Study - Nursing Assignment Help

Assignment Task

Case Study: Kate (She/Her) is a 48-year-old woman who has been admitted with Spontaneous Coronary Artery Dissection diagnosed after a coronary angiography. Kate started to experience chest pain about three days ago but initially ignored it as she thought it may be due to her anxiety. She has a recent history of three days of chest pain. She has a medical history of anxiety and hypertension. Her vital signs included blood pressure 180/93, heart rate 73, respiratory rate 23 breaths per minute, Spo2 96%. ECG demonstrates sinus rhythm without ST elevation. Laboratory results revealed an elevated troponin level. On arrival to the emergency department, she was administered sublingual glyceryl trinitrate Her usual medication list is Lisinopril 20mg orally D Escitalopram 20mg orally D.

Questions:

a) Considering Kate’s presentation, discuss how the ECG provides information on Kate’s heart function.

b) In terms of pharmacokinetics discuss how Glyceryl trinitrate will impact Kate’s chest pain and its implications in relation to haemodynamics.

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