100% Original, Plagiarism Free, Tailored to your instructions

Order Now!

coronary vessel/vessels/available options for fibrinolytic therapy

coronary vessel/vessels/available options for fibrinolytic therapy
The purpose of this assessment is to provide you with the opportunity to demonstrate your understanding of the content and readings for the subject and apply this theory to practice by way of a case analysis.

Work through the case study and answer the questions provided. Please note: You are encouraged to read both parts of this assessment (Part A & Part B) prior to commencement to minimise the risk of any repetition.

Case study

Mr Ben Long is a 58-year-old truck driver who presents to the emergency department with a two-hour history of chest pain.

History of presenting illness

Ben describes his pain as central and crushing, radiating to his left arm, associated with shortness of breath, nausea and diaphoresis. This awoke him at 3 a.m. Ben is a 25 pack years, smoker and consumes five to ten beers a week at the local club, he is not on any regular medication, he is 163 cm tall and weighs approximately 78 kg.

Initial Assessment

Ben is pale, appears anxious and his vital signs reveal:

Heart rate………..90 beats per minute
Blood pressure…..140/90 mmHg
Respiratory rate… 22 per minute
SpO2……………..98% on 6 L/minute oxygen via a face mask (93% on room air)
Ben rates his chest pain at 9/10

A 12-lead ECG is performed and it is determined that Ben has experienced an Anterolateral MI (STEMI), with inferior
reciprocal changes. (no Q waves evident).

The ECG performed on Ben is available by clicking here Ben Long’s ECG

Question 1 ( 250 words)

Taking Ben’s diagnosis into consideration discuss the following:

the coronary vessel/vessels involved
myocardium and conduction system at risk
potential complications.
After medical review of Ben, and since angiography is not an immediate option, the doctor orders:

Continuation of oxygen
Aspirin and Clopridogrel
Intravenous morphine
Fibrinolytic therapy

Question 2 (750 words)

Considering Ben’s current clinical condition, history and ECG, analyse and evaluate the above treatment against available evidence in the current literature. Include in your answer:

actions, dose and appropriateness of each drug
the available options for fibrinolytic therapy
nursing management of the patient related to the administration of these drugs
On going patient status:

Despite fibrinolytic therapy, Ben develops signs of left ventricular dysfunction with hypokinesia of the left septal wall confirmed on echocardiogram. Ben’s left ventricular ejection fraction (LVEF) is 41%.

Clinical assessment reveals:

Heart rate………..110 beats per minute
Blood pressure…111/70 mmHg

Respirations……..26 per minute
SaO2……………96% on 6 L/minute oxygen via a face mask.

Ben was commenced on an ACE inhibitor and a beta blocker

Question 3 (700 words)

Discuss the actions of these drugs and rationalise their use for Ben Long.

In your discussion relate to the concepts of:

left ventricular dysfunction
myocardial oxygen supply and demand
preload, afterload and contractility.

Our Service Charter

  1. Excellent Quality / 100% Plagiarism-Free

    We employ a number of measures to ensure top quality essays. The papers go through a system of quality control prior to delivery. We run plagiarism checks on each paper to ensure that they will be 100% plagiarism-free. So, only clean copies hit customers’ emails. We also never resell the papers completed by our writers. So, once it is checked using a plagiarism checker, the paper will be unique. Speaking of the academic writing standards, we will stick to the assignment brief given by the customer and assign the perfect writer. By saying “the perfect writer” we mean the one having an academic degree in the customer’s study field and positive feedback from other customers.
  2. Free Revisions

    We keep the quality bar of all papers high. But in case you need some extra brilliance to the paper, here’s what to do. First of all, you can choose a top writer. It means that we will assign an expert with a degree in your subject. And secondly, you can rely on our editing services. Our editors will revise your papers, checking whether or not they comply with high standards of academic writing. In addition, editing entails adjusting content if it’s off the topic, adding more sources, refining the language style, and making sure the referencing style is followed.
  3. Confidentiality / 100% No Disclosure

    We make sure that clients’ personal data remains confidential and is not exploited for any purposes beyond those related to our services. We only ask you to provide us with the information that is required to produce the paper according to your writing needs. Please note that the payment info is protected as well. Feel free to refer to the support team for more information about our payment methods. The fact that you used our service is kept secret due to the advanced security standards. So, you can be sure that no one will find out that you got a paper from our writing service.
  4. Money Back Guarantee

    If the writer doesn’t address all the questions on your assignment brief or the delivered paper appears to be off the topic, you can ask for a refund. Or, if it is applicable, you can opt in for free revision within 14-30 days, depending on your paper’s length. The revision or refund request should be sent within 14 days after delivery. The customer gets 100% money-back in case they haven't downloaded the paper. All approved refunds will be returned to the customer’s credit card or Bonus Balance in a form of store credit. Take a note that we will send an extra compensation if the customers goes with a store credit.
  5. 24/7 Customer Support

    We have a support team working 24/7 ready to give your issue concerning the order their immediate attention. If you have any questions about the ordering process, communication with the writer, payment options, feel free to join live chat. Be sure to get a fast response. They can also give you the exact price quote, taking into account the timing, desired academic level of the paper, and the number of pages.

Excellent Quality
Zero Plagiarism
Expert Writers

Instant Quote

Instant Quote
Single spaced
approx 275 words per page
Urgency (Less urgent, less costly):
Total Cost: NaN

Get 10% Off on your 1st order!