You are a pharmacist working in the cardiac ward of a hospital where Mr. Smith (48 years) was admitted to the hospital seven days ago with a diagnosis of myocardial infarction (MI). He has a history of hypertension and hyperlipidemia but no previous psychiatric history. Mr. Smith reports occasional worry about his health, especially his heart condition. He sometimes experiences restlessness, muscle tension, and difficulty falling asleep. Upon assessment, his GAD-7 score was 11 (on a scale of 0-21). He sleeps approximately eight hours in the night. Mr. Smith is asking to add a sleeping pill to his current medication list. As a pharmacist, which initial management option do you suggest for the anxiety and sleep complaints of the patient?    lease answer this at your own easy words. Answer should be to the point (Specific)..

You are working in cardiopulmonary rehabilitation. It is your patient, Dave’s, first day of rehab. Dave had a heart attack 45 days ago. He is 40 years old and feels comfortable and confident enough to walk on a treadmill or ride a bike. Upon talking with Dave, you learn that he regularly exercised up until his heart attack. He completed resistance training 3 days/week at his local gym and would play tennis with friends several days each week. He can walk comfortably without an assistive device on flat surfaces at his own speed. You need to determine Dave’s VO2 in order to create a correct exercise prescription. Would you test this person, yes or no? If yes, please indicate what protocol you would choose and whether or not the test would be maximal or submaximal? Please include your rationale.

Molly Carpenter, a 44-year-old female client,is admitted with an embolic stroke, and the cardiologist ordered a transesophageal echocardiogram (TEE). The client refused to sign the informed written consent when the cardiologist presented it to the client. The client has a shaky voice, she complains of palpitations, and there is visible diaphoresis present on Molly’s forehead. Molly is pacing back and forth in the room and her eyes are dilated. The vital signs include T, 98°F; BP, 140/90 mmHg; HR, 110 beats/minute; RR, 28 breaths/minute. The cardiologist talked with the client, stating that the test needs to be done to clearly find out if there are any blood clots in the heart that could travel and cause a future stroke. The client recognizes the test is needed but stated she is freaked out by the thought of a tube being shoved down her throat. The LPN/LVN needs to provide nursing interventions to reduce Molly’s anxiety so she can learn more about the TEE and comfort measures that will…

After reading Chapter 14, “The Cardiovascular System,” from Fundamentals of anatomy and physiology, analyze the following case and answer the questions below.  While walking in the park with her two-month-old baby in a stroller, Laura, a first-time mother, runs into one of her neighbors, Rina, who is a registered nurse. Rina is excited to see Laura and meet the baby.  As the two women talk, Rina asks how everything is at home with the new baby. Laura sighs and says that she is worried because in the last few days the baby gets tired easily when she tries to breastfeed her. She also mentions that two (2) days ago, she saw a blue coloration on her baby’s lips and tongue but panicked and took no action.  Rina raises her eyebrows and urgently tells Laura that she needs to take the baby to the doctor immediately. Laura seems extremely nervous and begins to cry, to which Rina responds: “I am sorry, I did not mean to scare you. I know she is your first baby, but I honestly believe that you…

A person showing signs and symptoms of a heart attack will often: Panic and faint Deny that they are having a heart attack Take a nap to relieve pain None of the above

Mr Rupinder Patel is a 70 year old retired businessman. He has a past medical history of Congestive Cardiac Failure (CCF). This developed after he experienced a two myocardial infarctions 8 years ago. Both ventricles were affected. The death of his wife 2 years ago has led to Rupinder experiencing several episodes of depression which has been exacerbated by his sons both moving to Western Australia for work. The loneliness and sadness makes it difficult for him to be concordant with his CCF  management and sustain the necessary lifestyle adjustments required to prevent exacerbations.  This has resulted in several admissions to hospital for management and review of his CCF. For this current admission, Mr Patel was referred to hospital by his Nurse Practitioner, after recently rapidly gaining weight (currently 110kg), since his previous visit. The time now is 0800 and you have just come on for your morning shift. Mr Patel has been on the ward for only two hours after spending…

You have been asked to take a pulse and a blood pressure reading on 80-year-old Mrs. Leonard, who is very frail and thin. The provider is running ahead of schedule and is waiting on you so he can examine the patient. You have to work rather quickly. You take the patient's pulse rate, which is 96 beats per minute. You notice that the patient's heart appears to skip a few beats. The patient's blood pressure is 152/94. A. What type of blood pressure cuff would work best on this patient? B. What may be a contributor to the patient's pulse rate being so high? C. Would the patient be considered to have controlled blood pressure? D. The patient's heart rhythm would be termed as what?

Patient: Winston Waller Physician: Morris Johnston, MD August 1, 2022 History This patient is a 73-year-old male nonsmoker with type 2 diabetes mellitus and hypertension. He presented to this ED with shortness of breath and was found to have had an acute myocardial infarction of the anterior wall of his heart showing an ST elevation that had previously been left untreated. He developed several complications, including renal failure from a combination of cardiogenic shock and toxicity from the dye used for emergency catheterization of his heart. Hemodialysis was started during this hospitalization because of his renal failure. After spending almost a month in the hospital and developing severe deconditioning, he was discharged to a subacute rehabilitation facility. Examination While he was there, he was noted to have symptoms consistent with mild depression, as well as a prior history of a major depressive episode in 2019. Mirtazapine (Remeron) 25 mg/day was started. He was…

Mr Rupinder Patel is a 70 year old retired businessman. He has a past medical history of Congestive Cardiac Failure (CCF). This developed after he experienced a two myocardial infarctions 8 years ago. Both ventricles were affected. The death of his wife 2 years ago has led to Rupinder experiencing several episodes of depression which has been exacerbated by his sons both moving to Western Australia for work. The loneliness and sadness makes it difficult for him to be concordant with his CCF  management and sustain the necessary lifestyle adjustments required to prevent exacerbations.  This has resulted in several admissions to hospital for management and review of his CCF. For this current admission, Mr Patel was referred to hospital by his Nurse Practitioner, after recently rapidly gaining weight (currently 110kg), since his previous visit. The time now is 0800 and you have just come on for your morning shift. Mr Patel has been on the ward for only two hours after spending…

The cardiovascular system