PGCC Nursing Critical Care of Acute Coronary Syndrome Presentation Patient information 54 YO African American female Christian Disabled lives alone in apartment Presented to ER C/O chest pain for the past day. HPI: Ran out of diuretic, chest pain on exertion Diagnosis: Depression, Old GSW, PMH: Heart Failure, HTN, Hyperlipidemia, DM type 2, PSH: Rt side Nephrectomy, SOC: smoke 1 ½ PPD, 5th of vodka daily, past cocaine Allery: NKDA Home meds: Lisinopril, fluid pill, Baby ASA Gen: T 98.2 F Neuro: PERRLA, Alert, oriented person, place, time. Clear speech, hands tremulous CVS: BP 138/105 HR 61 regular. S1 S2, no murmur. Cardiac monitor Normal sinus rhythm, no edema present, cap refill
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