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NUR 176 Weck 8 Case Study (B g f? : gE
The nurse cares for a 60- year- old male admitted to the Emergency Department with chest pain.
Nurses’ Notes 7]
1000. 60-year-old male client is admitted to the Emergency Department with crushing sternal pain
radiating down left arm that is worse with walking. Pain began 2 hours ago while walking outside.
Client also reports shortness of breath with activity. Reports taking a regular aspirin on the way to the
hospital. Vital signs: T- 99 F(37.2C); HR- 110; RR- 22 bpm; B/P- 160/90; Pulse oximeter- 93% on room
air; chest pain 8/10. Weight reported at 280lbs/127kg (BMI 35). Started on unit chest pain protocol.
Oxygen applied, and nitroglycerin given. A peripheral intravenous line has been placed in the client’s
left arm. Morphine given. Labs drawn.
“Diagnostics Report
%
e
ECG- Sinus tachycardia rate 110 bpm. ST segment elevation in leads V3 and V4 (anterior leads)
Laboratory Report
% Lab Results Reference range
Cholesterol (Total) 250 mg/dI <200 mg/dl normal;
200-239 borderline; >240 high
WBC 10 x 103 cells/mm? 4.5-10.5 x 103cells/mm?
Platelets 400,000/ mm? 140,000 to 450,000/ mm?
Potassium(serum) 3.9 mEg/L 3.5to 5 mEq/L
Sodium (serum) 140 mEq/L 135 to 145 mEq/L
Magnesium (serum) 1.5 mEq/L 1.5to0 2.1 mEq/L
Troponin T 0.5 ng/ml 0 to 0.04 ng/ml
Creatine Kinase MB (CKMB) 170 1U/L 5to 25 IU/L
1. Which two (2) findings are most significant after reviewing the diagnostic
and laboratory results?
ECG
b. Cholesterol
c. Platelets
d. White blood cell count
® Troponin T
f. Creatinine Kinase MB
Spring 25
Scanned with
i & CamScanner’|
NUR 176 Weck 8 Case Study (B g f? : gE
The nurse cares for a 60- year- old male admitted to the Emergency Department with chest pain.
Nurses’ Notes 7]
1000. 60-year-old male client is admitted to the Emergency Department with crushing sternal pain
radiating down left arm that is worse with walking. Pain began 2 hours ago while walking outside.
Client also reports shortness of breath with activity. Reports taking a regular aspirin on the way to the
hospital. Vital signs: T- 99 F(37.2C); HR- 110; RR- 22 bpm; B/P- 160/90; Pulse oximeter- 93% on room
air; chest pain 8/10. Weight reported at 280lbs/127kg (BMI 35). Started on unit chest pain protocol.
Oxygen applied, and nitroglycerin given. A peripheral intravenous line has been placed in the client’s
left arm. Morphine given. Labs drawn.
“Diagnostics Report
%
e
ECG- Sinus tachycardia rate 110 bpm. ST segment elevation in leads V3 and V4 (anterior leads)
Laboratory Report
% Lab Results Reference range
Cholesterol (Total) 250 mg/dI <200 mg/dl normal;
200-239 borderline; >240 high
WBC 10 x 103 cells/mm? 4.5-10.5 x 103cells/mm?
Platelets 400,000/ mm? 140,000 to 450,000/ mm?
Potassium(serum) 3.9 mEg/L 3.5to 5 mEq/L
Sodium (serum) 140 mEq/L 135 to 145 mEq/L
Magnesium (serum) 1.5 mEq/L 1.5to0 2.1 mEq/L
Troponin T 0.5 ng/ml 0 to 0.04 ng/ml
Creatine Kinase MB (CKMB) 170 1U/L 5to 25 IU/L
1. Which two (2) findings are most significant after reviewing the diagnostic
and laboratory results?
ECG
b. Cholesterol
c. Platelets
d. White blood cell count
® Troponin T
f. Creatinine Kinase MB
Spring 25
Scanned with
i & CamScanner’|
