Primary care: The Art and Science of Advanced Practice Nursing Assignment Paper

Primary care: The Art and Science of Advanced Practice Nursing Assignment Paper

Please respond to the below post, no title page needed, at least two references which are not textbooks

It is essential that anyone who has chest pain should be assessed immediately for cardiovascular disease (Dunphy, et. al., 2019). Heart attacks are the leading cause of death in women in the United States and only half of the women realize it is the number one killer of women (CDC, 2022). Women typically experience pressure in their back, dizziness, lightheadedness, indigestion, heartburn, nausea, vomiting, shortness of breath and fainting when experiencing a heart attack (American Heart Association, 2015). Primary care: The Art and Science of Advanced Practice Nursing Assignment Paper

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This young woman should be evaluated through a thorough history and physical exam along with an ECG, CBC, ESR, serum electrolytes, BUN, serum creatinine, and cardiac troponins (Dunphy, et. al., 2019). The differential diagnosis could also include: gastroesophageal reflux, anxiety, musculoskeletal, and pulmonary (Dunphy, et. al., 2019). When assessing this young womanâ€s symptoms, the healthcare provider should assess the location, duration, quality, aggravating or relieving factors, and if it is localized or does the pain move (Dunphy, et. al., 2019). If a myocardial infarction is rule out, then other emergencies such an aortic dissections and pulmonary embolism should be looked at (Dunphy, et. al., 2019).

Patients with diabetes have atypical or minimal symptoms with a myocardial infarction because the nerves are damaged in the heart and pain is blunted (Dunphy, et. al., 2019). Coronary artery disease begins with endothelial injury and many causes are hypertension, hyperglycemia of diabetes, and free radicals (Dunphy, et. al., 2019). This endothelial injury results in an inflammation response attracting platelets, macrophages, and T cells (Dunphy, et. al., 2019).

The patient should be asked if they smoke because smoking is a modifiable risk factor this patient can change to reduce her risk of cardiovascular disease (Dunphy, et. al., 2019). If the patient does smoke, the patient should be assessed if they are ready to stop smoking (Dunphy, et. al., 2019).Primary care: The Art and Science of Advanced Practice Nursing Assignment Paper To assist in cessation of smoking, the healthcare provider can offer nicotine replacement therapy are effective ways to stop smoking (Dunphy, et. al., 2019). In addition, education on the risks of smoking and benefits of quitting should be discussed with the patient, along with controlling her diabetes (Dunphy, et. al., 2019).

Center for Disease Control and Prevention (2022, February 4). Lower your risk for the number 1 killer of women. Retrieved December 3, 2022 from https://www.cdc.gov/healthequity/features/heartdisease/index.html

Dunphy, L. M., Winland-Brown, J. E., Porter, B.O. & Thomas, D.J. (2019). Primary care: The art and science of Advanced Practice Nursing (5th ed.). Philadelphia, PA: F. A. Davis Co. Primary care: The Art and Science of Advanced Practice Nursing Assignment Paper