Question

Mrs. Paula Johnson is a 65-year-old white woman with a previous history of a sedentary lifestyle, hypertension, hypercholesterolemia, and diabetes mellitus type II. She is a heavy smoker since she was 20 years old. She was brought to the emergency room because her family found her unresponsive on the floor. She was diaphoretic. Her family thought she had her diabetes decompensated. Mrs. Johnson’s daughter indicated her mother was complaining of nausea and epigastric pain the day before. Also, her blood pressure was high.

1. What are your initial reactions related to the case?

2. What is a heart attack?

3. Considering Mrs. Johnson’s case, why does she have an increased risk of having a heart attack

Answer 1

Question no 1

Mrs. Paula Johnson as he arrives at the hospital the initial reaction would be to check her vitals as well as her blood sugar . As she is a diabete patient it should be noted wheather her blood sugar has gone down

The next step is to make sure her blood pressure is normal if not medication should be initiated

Then ECG of the patient has to be taken and diagnosis of myocardial infraction should be made sure then the treatment that can be aspirin oxygen and opioid therapy can be initiated.

Question no 2

A heart attack specificaly is the blockage of the blood flow to the individual heart muscle that results in the ischemia of the heart.

It is considered as a medical emergency. This occurs as a result of the blood clot that blocks the blood flow to the heart of the individual . In this case the heart without the blood, the tissue will loses its oxygen as well as will dies.

Question no 3

1. She is having an increase risk as she is having an age of above 60
2. She is having lack of exercise
3. Sedentary lifestyle is another risk for the individual
4. Hypercholesterolemia also contribute to the plaque formation and the blocking of the blood vessel
5. Hypertension also increase the risk of the blood vessel injury and will increase the risk of plaques formation
6. Smoking also injury the blood vessel and pose increase risk