What are F.M.’s modifiable risk factors for coronary artery disease (CAD)? What are his non-modifiable risk factors? What is the difference between chronic stable angina pain and pain associated with myocardial infarction? What are diagnostic studies indicated for F.M.? F.M. is diagnosed as having a myocardial infarction (MI). What is the priority nursing care for F.M.? What other interventions do you anticipate for F.M. at this time?

F.M. has modifiable risk factors that may increase the likelihood of coronary artery disease. Sedentary lifestyle and smoking are risk factors. BMI is slightly high (29.3kg/m2). Family history of heart disease (68 years) and age are non-modifiable risk factor.

Pain associated with chronic stable Angina can be relieved by rest or with nitroglycerin. However, pain related to myocardial injury (MI), isn’t relieved by nitroglycerin or rest.

F.M. diagnostic tests are indicated Diagnostic tests for F.M. include cardiac markers like troponin, as well as a cardiac catheterization that will assess for any blockages in your coronary arteries.

F.M.’s priority nursing care includes: F.M.’s priority nursing care includes monitoring and treating pain and administering medication as directed (such as morphine and nitroglycerin), as well as prepping the patient for cardiac catheterization and other diagnostic procedures.

F.M. may also be treated with other interventions. F.M. may also be treated with lifestyle changes to reduce modifiable risks, like quitting smoking and exercising more. Education on medication management is another option. A healthcare team will discuss with you the possibilities of additional cardiac interventions like angioplasty and coronary artery bypass surgery, depending upon the outcome of the diagnostic tests.

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