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"Acute Coronary Syndrome Non ST Elevation Myocardial Infarction, Hypertensive Cardiovascular Disease, Diabetes Mellitus Type 2, and Community Acquired Pneumonia" Client Centered Pathophysiology
"Acute Coronary Syndrome Non ST Elevation Myocardial Infarction, Hypertensive Cardiovascular Disease, Diabetes Mellitus Type 2, and Community Acquired Pneumonia" Client Centered Pathophysiology
↑Insulin
demand
Β cell
exhaustion
11-26-09 FBS= ↓insulin production ↑glucagon Fats and Proteins breaks
192.91mg/dl Release down to glucose
HGT
11-25-09 309mg/dl,
159mg/dl
11-26-09 179,148,156 ↑blood Impaired glucose Cellular Activation of
mg/dl glucose level absorption starvation satiety Easy fatigability
11-28-09 153, center Complaint on his
140mg/dl check up 5 years ago.
Polyphagia
↑osmolality As verbalized by the patient,
started 5 years ago until prior
Chronic glucose to admission
elevation
Fluid shifts HbA1c 11-25-09
10.9% ↑ Blood
from IC to IV viscosity
↓ perfusion
Small Accelerated ↑LDL
atherosclerosis June 27,
vessel
2009
disease 187 g/dl
Platelet activation
Platelet aggregation
Formation of thrombin
Enhances platelet
Converts aggregation
fibrinogen to
fibrin
Stabilization
of fibrin clot
Backflow
Impaired
of blood
Productive
Adventitious Pulmonar repolarization Blood pooling
Release of ↓ Irregular
Myocardi
cough y in the
the ↓cardiac HR, and O2heart
Fatigu ↓ BreathDOB of
Lactic
Anaerobic
ECG
Angina
acid lysosomal
on left Vasospasm
Ischemia
↑ ventricular
Impaired
Myocardial
of the
Coronary
tissue
↓ supplied by ↑BP,
cardiac
dislodges
cell vasocontricti
SNS al
Nidus of
rethrombosis
Re-establishment of the
endothelium with fibrotic
Hardening of the
coronary arteries
Coronary occlusion