NURSING nr 603 advanced I clinical Edit School: Chamberlain College of Nursing * Professor:angela samuels, gardner, Dr. Leigh Bittn...

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What is your primary diagnosis causing Larry M.’s chest pain? Include ICD 10 codes (no differentials) Larry M’s primary diagnosis causing him chest pain would be acute coronary syndrome ICD 10- I... 24.9 exceptional diagnosis, since it is not a confirmed myocardial infarction and is a bit more complex and severe than unstable angina; but Larry’s subjective and objective data are all appropriate for this diagnosis. Angina is included in the global diagnosis of NSTE-ACS, since angina, NSTEMI, and NSTE-ACS symptoms can overlap so much. Patients with angina typically have symptoms that last less than 5 minutes and are relieved by rest or taking nitroglycerin. Typically, the patient with ACS or NSTE-ACS will complain of a pressure-like feeling in the chest area, usually occurring at rest or with minimal exertion. These symptoms generally last 10 or more minutes, and usually start in the retrosternal area, even radiating to the arms, neck, or jaw; these areas can also have pain on their own without chest pain being present. Other symptoms that could be present as well include diaphoresis, dyspnea, nausea, abdominal pain, and syncope (Amsterdam et al., 2014). Older patients (70-years-old and above) and women will usually show typical signs and symptoms of ACS; however, these patients see increasing frequency in atypical symptoms, as well as patients that have been diagnosed with diabetes mellitus, impaired renal function, and dementia. When patients do present with atypical symptoms, such as epigastric pain, indigestion, increasing dyspnea when there is no chest pain, or stabbing or pleuritic pain, the suspicion of the [Show More]

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