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Case Study: Peripheral Artery Disease Week 6 In Class Assignment

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Case Study: Peripheral Artery Disease (PAD) Patient Profile S.J., a 73-yr-old black man, is admitted to the hospital with rest pain in both legs and a nonhealing ulcer of the big toe on the right ... foot. Subjective Data 1. History of a myocardial infarction, stroke, hypertension, HF, and type 1 diabetes 2. Underwent a left femoral-popliteal bypass 5 yrs ago 3. Has a 45-pack-yr history of tobacco use 4. Has been using insulin for 30 yrs 5. Reports sudden, intense increase in right foot pain for past 2 hrs 6. Has slept in recliner with right leg in dependent position for several months to decrease leg pain Current Medications 1. Furosemide (Lasix) 40 mg/day PO 2. Isosorbide dinitrate/hydralazine hydrochloride (BiDil) 1 tablet every 8 hr 3. Aspart (NovoLog) insulin with meals 4. Glargine insulin 50 units/day subcutaneously 5. Diltiazem sustained release (Cardizem LA) 240 mg/day PO 6. Aspirin 325 mg/day PO 7. Fish oil daily (self-prescribed) Objective Data Physical Examination 1. BP 148/92 mm Hg, irregular apical HR 90/min, respiratory rate 22/min, temperature 97.9° F (36.6° C) 2. Alert and oriented, anxious, with no apparent physical or mental deficits from stroke [Show More]

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