Reference no: EM133117412 , Length: word count:750

Case Study - Lynn

Mrs Lynn Murdoch is a 58-year-old admitted into hospital with cellulitis to her left lower leg. Lynn has a history of hypertension, has a BMI of 35, type 2 diabetes mellitus, a sedentary lifestyle, and a family history of cardiovascular disease (mother died young from AMI).
On day 3 of her admission, Lynn rings the call bell complaining of chest discomfortpain is radiatingbetween her scapula. On your initial assessment, Lynn looks pale and diaphoretic and does not look like her normal bright cheery self.

As her nurse, you undertake a patient assessment including vital signs:

Heart rate      98 bpmand irregular
BP (MAP)       145/86 mmHg (105)
RR                26 pm
SpO2 (%)       95% on FiO2 0.21
Temperature   37.6 ºC
Pain score      6/10.

Her ECG indicates ST elevation in leads II, III, aVF indicative of a right coronary artery occlusion and thus is called an inferior STEMI (ST Elevated Myocardial Ischemia).

Question 1: Identify and describe the area and structures of the heart that is vascularised by the right coronary artery. Include in your answer the implications of the disruption of blood supply from the right coronary artery to this area.
(approx.250 words)

Question 2: Explain and rationalise Lynn's symptoms that relate to the acute condition
(approx.250 words)

Question 3: Lynn has a diagnosis of type 2 diabetes. Identify the organ that is malfunctioning and give an explanation as to why this is occurring, include in your answer a brief outline of the two other organs that are affected with type2 diabetes and why they are affected.