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With supporting evidence, what is the impact of age and gender on incidence and

prevalence for acute pericarditis?


A patient is in their 60s, male, and was admitted to the ED for Acute pericarditis. 
Patient has history of anemia, hypertension, diabetes, and cataracts. 
Reason for Seeking Care (in client's own words):
Client indicated "pain all over."
Admitting Medical Diagnosis:
Acute Pericarditis 
Current Problem (may or may not be the same focus as initial complaint): Acute Pericarditis
Progression of Illness/Wellness:
Repeat troponin to ensure no change. Already on chronic colchicine for h/o gout and will
continue. Loaded with ASA 325 mg en route by EMS. Will give additional 325mg for empiric
treatment of pericarditis and defer further treatment to primary team. TTE was ordered to
assess for effusion and liver function. Considered formal cardiology consult in AM.
Concerning for rheumatologic process given constellation of other symptoms and highly
elevated inflammatory markers. ANA, RF, CCP ordered. 
Family history: sister is 54 years old- diabetes mellitus, mother 82 years old- diabetes
mellitus and hypertension (alive), father is 85 years old-diabetes mellitus and hypertension
(deceased), maternal grandparents were 78 and 79 - diabetes mellitus and hypertension
(deceased). 

Based on patient's age and diagnosis and family history, what would be the positive
and negative findings for the 3 generations list above? (An example of this is
attached below  for guidance)
 
And lastly, what would be the 3 priority client education needs for the patient from
highest to lowest?
This is what I said below but I did not answer it correctly. 
Problem 1: Pain
Goal: Verbalizes/displays adequate comfort level or baseline level. 
Interventions: encourage client to monitor pain and request assistance. Assess pain using
appropriate pain scale. Administer analgesics based on type and severity of pain and
evaluate response. Implement non-pharmacological measures as appropriate and evaluate
response. Consider cultural and social influences on pain and pain management. Notify
provider if interventions unsuccessful or client reports new pain.
Problem 2: Infection
Goal: Absence of infection during hospitalizations.
Interventions: Instruct and encourage patient and family to use good hand hygiene
technique. Assess and monitor for signs and symptoms of infection. Monitor all insertion
sites.
Problem 3: Cardiovascular
Goal: Maintains optimal cardiac output and hemodynamic stability. 
Interventions: Monitor vital signs, rhythm, and trends. Monitor for bleeding, hypotension,
and signs of decreased cardiac output. Assess equality of pulses, skin color and
temperature. 

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