NUR 347 - Critical Review Scenario 2: Your patient is a 58-year-old named K.Z. Case Study

NUR 347 - Critical Review Scenario 2: Your patient is a 58-year-old named K.Z. Case Study. Critical Review Scenario 2 Your patient is a 58-year-old named K.Z. He has had significant cardiac history including coronary artery disease (CAD), with occasional episodes of heart failure (HF). One year ago, he had an anterior wall myocardial infarction (MI- around the time he lost his wife). In addition, he has chronic anemia, hypertension, chronic renal insufficiency and a newly diagnosed 4cm suprarenal abdominal aortic aneurysm. Due to his severe CAD, and symptoms, he is being admitted to this step-down telemetry unit for a same-day cardiac catheterization. K.Z. is a current smoker with a 50 pack per year smoking history. Vital signs: BP 158/94, HR 88, RR 20 and 36,2, temp 97.2F Several hours later K.Z. returns from the procedure. The report shows 90% occlusion of the proximal left anterior descending coronary artery (LAD), 90% occlusion of the distal LAD, 70% to 80% occlusion of the distal right coronary artery (RCA), an old apical infarct and an ejection fraction estimate of 35%.