You will perform a history of a cardiac problem that your instructor has provided you
Description
Question 1 You will perform a history of a cardiac problem that your instructor has provided you or one that you have experienced, and you will perform a cardiac assessment. You will document your subjective and objective findings, note any abnormal findings, and submit this in a Word document to the drop box provided.
Cards Pt
Sam is a 55-year-old man with a family history of CAD who is overweight and taking medication for hypertension. He denies experiencing chest pain or dyspnea currently. He was a heavy smoker but says he’s down to 2 cigarettes a day. He has 2+ pitting edema in his lower extremities and states that walking up stairs is difficult for him. His brother just died from a heart attack in April of this year. He experienced chest pressure last night but not really pain. His left arm and hand are aching at 2/10.
Height: 5’7″
Weight: 213 lb
Blood pressure: 140/95 mm Hg
Heart rate: 85 bpm
Total cholesterol: 240 mg/dL done on 3/30/2020
High-density lipoprotein (HDL): 40 mg/dL done on 3/30/2020
Electrocardiogram (ECG) shows ST-segment abnormalities.
Question 2
You will perform a history of a peripheral vascular problem that your instructor has provided you or one that you have experienced and perform a peripheral vascular assessment. You will document your subjective and objective findings, note any abnormal findings, and submit this in a Word document to the drop box provided.
Peripheral Vascular System Assignment
PV Pt
61-yr old African American female. Complains of right leg pain for > 8 months. Intermittent tingling in right foot and buttock and thigh pain with walking. Can walk 50 ft before leg symptoms. No angina, but previous bypass and valve replacement, and EF of 35%. HTN history, diabetes, former smoker, family history of CAD, dyslipidemia. Physical exam shows a heathy-appearing middle-aged woman. BP 118/70 and HR 80. Femoral, popliteal, and pedal pulses are absent on right lower extremity. Right foot is warm with delayed capillary filling. ABI on right foot is 0.75 and drops to 0.51 after exercise. Abnormal right foot ultrasound waveforms and pressures
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