Question

Kevin is 69 years of age, admitted to the coronary care unit of a local hospital. He is 6’ tall and weighs 210 lbs. He has gained 30 lbs since he retired 4 years ago. He attributes his weight gain to boredom and the lack of exercise. Three months prior to admission, Kevin began to experience chest pain that radiated up his neck and down his arms. He has a past medical history of hypertension, and elevated serum cholesterol levels. Kevin is admitting diagnosis was an acute myocardial infarction. His serum lipid profile is as follows:

Total Cholesterol: 300 mg/dl

LDL Cholesterol: 200 mg/dl

HDL Cholesterol: 30 mg/dl

Triglycerides: 600 mg/dl

Kevin was ordered a Therapeutic Lifestyle Changes Diet

What are Kevin’s risk factors for cardiovascular disease?

Define myocardial infarction and describe what happens when a myocardial infarction occurs.

While providing care to Kevin you learn that he snacks on high fat cheeses, ice cream, potato chips, corn chips, peanuts, crackers and chicken wings. He drinks whole milk, uses a lot of butter on his bread with every meal.

What are the key components of the Lifestyle Management Guidelines in reducing the risk for cardiovascular disease?

To reduce his intake of dietary cholesterol and saturated fat, what dietary recommendations would you suggest to Kevin after having a myocardial infarction?

Answer 1

Answer 1) following are Kevin's risk factors:-

a) age

b) overweight

c) lack of exercise

d) dietary habits

e) hypertension

Answer 2) myocardial infarction is also called a heart attack sometimes. MI is a blockage of blood flow to the heart muscle due to the formation of plaque.

Death of heart muscles leads to pain and other cynotic symptoms. And disturbs heart pumping functioning.

MI is a cardiovascular disease were due to the blockage of a coronary artery heart muscle myocardium gets less oxygen and this leads to the death of the muscle cells.

Answer 3)the key components life style management would be----

• take more protein in diet rather cholesterol and fats.

• exercise regularly as tolerable by the client

• strict dietary restriction specially on salts and pricessep foods

• adapt some natural remedies for healthy heart like eating garlic, or low fat oil, less creamed milk etc.

• deep breathing exercises

•

Answer 4) he can go with---

• different kind of green vegetable

• juices and fruits with less sodium

• low fat dairy products

• legumes and nuts

• can alternate normal sugar with sugar free items

• avoid fried food and can opt simple grilled as a start

• increase intake of fibre rich diet eg, beans, berries, apples etc