NR 603 Week 3 Case Discussion: Cardiovascular 100% complete with Verified answers Graded A+ Dr. Tom and Class, What Leads Demonstrate the ST Depression? • Leads I, V5, V6 are the leads showing ST segment depression. Is Lorene Hypertensive per ACA 2017 Gu

NR 603 Week 3 Case Discussion: Cardiovascular 100% complete with Verified answers Graded A+ Dr. Tom and Class, What Leads Demonstrate the ST Depression? • Leads I, V5, V6 are the leads showing ST segment depression. Is Lorene Hypertensive per ACA 2017 Guidelines? Compare the ACA guidelines to JNC 8 guidelines and discuss what treatment you recommend for her BP and why. • Lorene is hypertensive as per 2017 ACA guidelines. Lorene’s blood pressure at the clinic is 146/90. ACA guidelines state that stage II hypertension is when blood pressure is greater than or equal to systolic 140 mm Hg or greater than or equal to 90 mm Hg diastolic (Whelton, Carey, Arnonow, Casey, Collins, Himmelfarb, & Wright, 2017). The JNC guidelines state that patients who are sixty or older and are free of diabetes and chronic kidney disease the goal is a blood pressure of 150/90 (JNC 8 Guidelines, 2014). The goal should be less than 140/90 mm Hg for patients that are 18-59 years of age and have no subsequent comorbidities and patients 60 or older that have chronic kidney disease, diabetes, or both disease processes (JNC 8 Guidelines, 2017). • Lorene is black, has diabetes, is age 60, and does not have kidney disease, so she meets the criteria for the JNC 8. She should be prescribed either a calcium channel blocker or a thiazide medication (JNC 8 Guidelines, 2017). If the target blood pressure id not achieved by one month from medication initiation then a second medication should be added. What is the Primary diagnosis causing Lorene's chest pain? Include ICD 10 codes (no differentials) • Lorene’s primary diagnosisis Non-ST elevation (NSTEMI) myocardial infarction and the ICD 10 code would be I21.4. What other secondary diagnoses does Lorene have that should be addressed? (Include the rationale and a reference for your diagnoses