Analysis of viva voce patient

A patient was admitted to hospital after suffering from a mild heart attack. The patient is a 64-year-old male born on 06/07/1954. The patient resides in Tanunda in South Australia. On the 5/2/2019 he was admitted to Lyell Mcewin Hospital. The patient was transferred from the emergency ward to the cardiology ward. Some of the shared pathophysiology similarities between STEMI and NSTEMI are inclusive of secondary prevention, prognosis, complications, the pathogenesis of plaque rupture, the demographics, as well as the risk factors. In a considerable amount of NSTEMI cases, the definitory symptom of the blockage of the coronary artery occurs (Thiele, et al. Nonetheless, such blockage occurs in more frequent numbers of STEMI cases. It is a common occurrence for the ST-elevation to be missed in patients that are suffering from a blocked artery.

The noticing of the ST-elevation is more difficult in an instance where the location of the lesion is in the circumflex artery (Shah, et al. The damaging of the endothelium is a contributing factor to the development of atherosclerosis because of the resulting buildup of cholesterol in the wall of the arteries. Regardless of the function of white blood cells to clear up the cholesterol, they could get stuck at the affected site. As time progresses the buildup would turn into a plaque. The continual presence of the plaque would result in the clogging of the artery and thus the blood flow to the rest of the body is interrupted. A blocked artery would consequentially result in a heart attack. The variety of ways stem from the fact the function of the heart is to pump blood to the entire body, and hence an uncontrolled blood pressure could be detrimental to this function.

Hypertension could result in coronary artery diseases thus affecting the flow of blood to the heart (Zinman, et al. In such an instance the patient is likely to experience irregular heart rhythms, heart attack, and chest pain. Hypertension could also result in the enlargement of the left heart. When the blood pressure is high the heart is forced to supply more blood at a faster speed, therefore, it is working much harder. The patient has a heart rate of 90 beats per minutes and therefore increases his chances of suffering from a heart attack because of overworking the heart (Zinman, et al. The respiration rate of the patient is a crucial factor to determine the survival rate of the patient after a heart attack.

The respiration rate of the patient is 18 beats per minutes and this falls within the normal range of 12 to 20 beats per minute. In an instance where the respiration rate would be elevated, then it would increase the likelihood of the patient to suffer from a heart attack. The heart muscle must use oxygen for survival (Shah, et al. Fast fluid buildup would result in the fluid getting into the lungs. Edema would develop in the abdomen if the heart failure would occur on the right side of the heart. The shortness of breather could result from the fluid buildup in the lungs when blood backs up in the veins that transport blood through the lungs (Milosevic, et al. Consequentially the two processes that will result in the shortness of breath are the pushing of fluid into the air spaces of the lungs and the reduction of the normal movement of oxygen in the lungs by the build-up of fluid in the lungs.

A mobility test is crucial in the determination of whether the blood circulation within the body is alright. Another test useful in the diagnosis of the patient is an electrocardiogram. The test is essential because it takes measurements of the electrical activity of the heart to determine whether the functioning is normal. A line screen or a moving screen of paper is where the rhythm of the heart is recorded (Shah, et al. The ECG is crucial in the determination of whether the high blood pressure of the patient has caused any damage to his heart or vital blood vessels. Other aspects that the ECG could assist determine are inclusive of enlargement of one side of the heart, heart attack history as well as whether the blood supply of the heart is being clogged up by cholesterol.

By this action, the medication is effective in the prevention of kidney problems and heart attacks by lowering the blood pressure. Dizziness, diarrhea, a slow heart rate as well as feelings of tiredness are the main reasons side effects of Bisoprolol fumarate. The final medication administered is Rosuvastatin Ca (Kronish, et al. The medication works through the action of balancing the cholesterol in the body. It lowers bad cholesterol and increases the quantity of the good cholesterol. Other recommendations for the medication are inclusive of regular exercising and avoiding smoking. In an instance where the patient experiences any of the side effects, it would be advisable to seek medical attention as soon as possible and changes should be made to the medication administered.

A recommendation for the patient is to avoid daily consumption of alcohol as a lifestyle choice because it would prevent instances of the patient succumbing to other illnesses other than heart problems such as liver diseases. Other lifestyle choices that the patient should embrace are inclusive of regular exercising and healthy eating habits (Thiele, et al. A final patient recommendation would be that the patient takes up medical checkups on occasion to ensure their safety. Communication could be between colleagues, superiors and even other health care practitioners such as doctors. It is essential to maintain good communication between colleagues and other medical practitioners because it will come in handy when a collaborative effort is required (Bond, Mandleco, & Warnick, 2004). Communication to superiors in necessary to alert them on issues on the ground so that solutions can be developed and implemented as soon as possible.