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This is a nursing care plan for Mr. Gordon Walker, a 45-year-old male, who has been transferred to the metropolitan coronary care unit from a rural hospital with a diagnosis of myocardial infarction for a coronary angiography. He lives in a rural area with his wife and three teenage children, who are currently not with him…
Apart from this, he has a past history of hypertension, hypercholesterolemia, and chronic renal impairment. He has history of self-medication with Panadol few times a week and admits of medication noncompliance. His current admission is due to acute onset of chest pain and shortness of breath leading to emergency admission to the rural hospital where he was diagnosed with acute anterior myocardial infarction and was treated with thrombolytic therapy. There was abatement of symptoms, and he was sent to the metropolitan hospital for coronary angiography and further investigations.
Mr. Walker understands that his disease is a result of atherosclerotic cardiovascular disease, which is caused by life-style associated risk factors. His diabetes mellitus, hypercholesterolemia, hypertension, and type 2 diabetes mellitus are interrelated to his dietary habits, perhaps obesity, and it in turn is causing chronic renal dysfunction, which may be further aggravated by his hypertension. His type 2 diabetes is an independent risk factor for his hypercholesterolemia, and both combined together would aggravate his atherosclerotic cardiovascular disease and deteriorate the outcome in terms of adverse cardiac events. Moreover self-medication and non-compliance to medications would also worsen the clinical picture. ...
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