What are the emergency department goals of management for a patient with a STEMI?

This essay should be
written in APA format, including a cover page and reference page. The essay
will need to be between 3- 5 pages long not including the cover page and
reference pages. It is required to utilize a minimum of 4 evidence-based
sources to support your responses. No running header is needed for APA 7 style
formatting.

1. A 55-year-old woman is brought to the
emergency department via ambulance complaining of severe, acute chest pain. The
patient states, “It came on all of a sudden like someone is sitting on my chest
crushing me.” An ECG shows ST-segment elevation, and the presumptive diagnosis
is acute ST-elevation myocardial infarction (STEMI). While taking the history
on the patient, what symptoms should the nurse prioritize? What are the emergency
department goals of management for a patient with a STEMI? What are the current
guidelines and nursing interventions to include in the plan of care?

2. Mr. Cook is a
76-year-old African American man admitted to the ED with pain in both
legs. His history includes a left femoral-popliteal bypass 5 years
ago. Smoking history of 45 pack years. Diabetic for 30 years,
insulin controlled. He has a diminished right femoral pulse, and a popliteal
pulse with Doppler only; posterior tibial and pedal pulses are absent. Describe
the pathophysiology of Peripheral Vascular Disease? What are the top 3 nursing
priorities for this patient? What teaching would you need to include in the
plan of care for this patient?

3. A female client has been
on a protein-free diet for 3 months. She comes to the clinic with reports of
restlessness, heat intolerance, diarrhea, and a significant increase in
appetite. Further questioning of the client reveals that she had been diagnosed
with hyperthyroidism several years prior, but she had stopped her medication
about 6 months ago because she felt so much better. Describe the
pathophysiology of Graves’ disease? What is a potentially life-threatening
complication associated with hyperthyroidism? What are the possible causes for the
complication identified?

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