100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
I human case study -steven van dyke,36 years- old Caucasian male cc:smoker with chest tightness Steven Van Dyke is a 36-year-old Caucasian male smoker who presents to the ED following the acute onset of nonradiating, nonreproducible chest tightness of > $12.99   Add to cart
Quickly navigate to
Preview
  2.  
  3. HSA - Health Service Administration
  4.  
  5. HSA - Health Service Administration

Exam (elaborations)

I human case study -steven van dyke,36 years- old Caucasian male cc:smoker with chest tightness Steven Van Dyke is a 36-year-old Caucasian male smoker who presents to the ED following the acute onset of nonradiating, nonreproducible chest tightness of >

4 reviews
 15 views  0 purchase
  • Course
  • HSA - Health Service Administration
  • Institution
  • HSA - Health Service Administration

I human case study -steven van dyke,36 years- old Caucasian male cc:smoker with chest tightness Steven Van Dyke is a 36-year-old Caucasian male smoker who presents to the ED following the acute onset of nonradiating, nonreproducible chest tightness of >20 minutes duration, symptoms beginnin...

[Show more]

Preview 2 out of 5  pages

Document information

  • October 13, 2023
  • 5
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

Written for

  • HSA - Health Service Administration
  • HSA - Health Service Administration

4  reviews

review-writer-avatar

By: NursPauline • 2 months ago

review-writer-avatar

By: docwayne5 • 3 months ago

review-writer-avatar

By: doctorian • 3 months ago

review-writer-avatar

By: perfectnurse • 3 months ago

Seller

avatar-seller
WORLDNURSE

Reviews received

Content preview

I human case study -steven van dyke ,36 years - old Caucasian male cc: smoker with chest tightness Steven Van Dyke is a 36 -year-old Caucasian male smoker who presents to the ED following the acute onset of nonradiating, nonreproducible chest tightness of >20 minutes duration, symptoms beginning while he was watching TV. He complains of associated palpitations, shortness of breath, choking sensation, dizziness, nausea, sweating, and “fear of having a heart attack.” He reports a 1 -month history of similar episodes lasting 5 -20 mi nutes, and now increasing in intensity over the past week. The first episode happened while exercising; subsequent episodes occurred during work -related meetings. This is the first episode occurring at rest outside of the work setting. PMH is significant o nly for childhood asthma; he denies any history of psychiatric disease. The patient’s father died 2 years ago at age 62 due to an MI. PE reveals an anxious -appearing young male with fidgeting of hands and legs. He is tachycardic and takes deep breaths betw een speaking in phrases. The cardiopulmonary and neurologic exams are otherwise normal. Primary Diagnosis: Panic Disorder: characterized by episodic, unexpected panic attacks that occur without a clear trigger (American Psychiatric Association, 2013). Attacks have a rapid onset of intense fear with at least four of the physical and psychological symptoms, such as palpitations, sweating, trembling/shaking, sensations of shortness of breath, feelings of choking, chest pain or discomfort, nausea, dizziness , or fear of losing control or dying (Locke, Kirst, & Shultz, 2015). The disorder is not caused by the physiological effects of a substance or undiagnosed medical condition. Acute Coronary Syndrome: symptoms of chest pain, referred chest pain, dyspnea, na usea, vomiting, light -headedness, and diaphoresis. Chest pain is commonly the first symptom that describes it as sudden, severe, heavy, and crushing sensation. Physical examination reveals an increase in heart rate and blood pressure, abnormal extra heart sounds, pulmonary findings of congestion, or peripheral vasoconstriction (Huether & McCance, 2012, p. 607). Typical angina is described as substernal pain, occurs on exertion, and is relieved with rest (Achar, Kundu, & Norcross, 2005). Chest pain that occu rs suddenly at rest or in a young patient may suggest acute coronary vasospasm, which occurs in Prinzmetal’s angina or cocaine or methamphetamine use (Achar et al., 2005). Hyperthyroidism: Elevated thyroid hormone levels amplify catecholamines resulting i n adrenergic symptoms (e.g., palpitations, tachycardia, heat intolerance, diaphoresis, tremor, lid lag,) (Kravets, 2016). Psychiatric symptoms, such as anxiety, may be present. Enlargement of the thyroid gland (goiter) is common in hyperthyroid conditions caused by stimulation of TSH receptors (Huether & McCance, 2012, p. 454). Status/Condition: Stable Code Status: Full Allergies: None Admit to Unit: Outpatient

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller WORLDNURSE. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

71184 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling

Recently viewed by you

Exam (elaborations) ·

(0)

Exam (elaborations) PHARM NR 223 TEST BANKPharmacology and the Nursing Process9th Edition
$12.99
  • (4)
  Add to cart