This essay stresses that Mr Brown is a pseudonym in order to comply with the confidentiality guidelines set by the Nursing and Midwifery Council. Mr Brown is a fifty eight year old man who lives with his wife and son in a semi-detached bungalow in a city suburb. He is employed as a police sergeant and is involved in his local church; he is also the chairman of his local neighborhood watch program. Mr Brown has been fit and well though slightly over weight, he drinks and smokes moderately. During the last week he has complained of indigestion occasionally.
This paper declares that the symptoms presented by Mr Brown were, severe chest pain, cold clammy and pale skin, his pulse rate was one hundred beats per minute, a blood pressure reading of one hundred mm Hg, systolic and a diastolic reading of eighty mm Hg, his respirations were quite rapid and peripheral cyanosis was present. He also showed signs of being weak, feeble, anxious and shaky. Mr Brown was consequently admitted to an accident and emergency department in an inner city hospital. On examination a suspected Myocardial Infarction and cardiogenic shock was diagnosed. Cardiogenic shock as defined by Brunner and Suddarth as when the heart is no longer able to pump blood around the body properly as it has been severely damaged, for example, by a major heart attack, it can then cause lack of blood and oxygen to vital organs such as heart, brain and kidneys. ...Show more