NURS HEALTH ASSACS Case Study

Christina Hammack and Cash Thomas
Acute Coronary Syndrome (ACS)
Myocardial Infarction (MI)



JoAnn Smith, 68 years old

Primary Concept
Perfusion
Interrelated Concepts ​(In order of emphasis)
1. Fluid and Electrolyte Balance
2. Clinical Judgment
3. Communication
4. Collaboration

 

Christina Hammack and Cash Thomas
UNFOLDING Reasoning Case Study-STUDENT
Acute Coronary Syndrome/Acute MI
History of Present Problem:
JoAnn Smith is a 68-year-old woman who presents to the emergency department (ED) after having three days of progressive
weakness. She denies chest pain, but admits to shortness of breath (SOB) that increases with activity. She also has
epigastric pain with nausea that has been intermittent for 20-30 minutes over the last three days. She reports that her
epigastric pain has gotten worse and is now radiating into her neck. Her husband called 9-1-1 and she was transported to
the hospital by emergency medical services (EMS).

Personal/Social History:
JoAnn is a recently retired math teacher who continues to substitute teach part-t