Cardiovascular case study and its effects on patients

This is an essay that discusses the Cardiovascular case study and its effects on patients. Additionally, it discusses on the needs before going into a clinic.

Cardiovascular case study and its effects on patients

Firstly, read the below case scenario of a Cardiovascular case. You will us e the case study to answer questions below.

A 60-year-old male patient enters the walk-in clinic reporting dizziness and fainting that has been happening off and on for the last 48 hours. The patient reports a 10-year history of hypertension, which he describes as “usually” controlled. The man reports being recently ill with a “bad case” of influenza but otherwise well, with a history of depression controlled with antidepressant medication. The man reports taking an ACE inhibitor daily for her hypertension and notes he has taken a dose today. His vital signs upon arrival are: blood pressure 104/48, heart rate 180, respiratory rate 30, and temperature 99.1?F. The man appears diaphoretic, fatigued, and weak.

Also, physical assessment reveals an irregularly irregular heart rate, weak peripheral pulses, cool, pale skin, ‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍and decreased capillary refill. The ECG shows atrial fibrillation. The man reveals that he is in the United States illegally and is undocumented. The patient expresses concern about his status as you prepare him for treatment.

Secondly, use the above case study to answer the following questions:

1.What would be included in your initial interventions for this patient?

2.Calculate the patient’s CHADS2 score and determine whether anticoagulation is recommended based on the score.

3.What is the significance of this condition happening off and on for the last 48 hours?

4.You, the nurse practitioner, decide the patient needs treatment beyond the walk-in clinic’s resources. What action do you take to ensure that the patient is treated promptly?

5.Because the patient is an undocumented immigrant, what considerations will be needed while care‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ is provided?