Hello, everybody. I am Katte Gabriela Peña Morales. I am the ARMP today for Mr. Aragon, and the condition that he has is my guardian infraction. Okay, I’m going to start the PowerPoint. Let’s see. Okay, so we have Mr. Alexander Aragon. He’s 58 years old, has a diagnosis of MI. social background will be participating in family dinners he often need fast food because he doesn’t have time he’s very close to his family but very limited socialization outside the family because he’s always busy working he smoked for 25 years and has been a non-smoker for the last five years we find him alert and oriented times four he does have fatigue dizziness and some sweating he’s hyper He has chest pain for the last three days. Also has pain in the jaw, radiation to the left arm. The EKG shows an ST elevation. He also complains about nausea. He has not vomit. He has no diarrhea. His lungs are clear. But in the heart auscultation assessment, he had A .R.S.4 atrial gallop. medical, past medical history will be hyperlipidemia, hypertension, obesity, and diabetes type 2. We can see his laps for Mr. Aragon and the education that I am preparing for him. I will tell him, Mr. Aragon, the most important, one of the most important symptoms here is your laps. You have something called torporins are elevated. His TKMB is elevated as well. He has inflammation process going on with his CRP elevated as well. He has risk of having kidney damage because creatine is also elevated with 1.3. He has elevated WBCs and has a great hemoglobin. Has good platelets as well. I will tell him that the way that we diagnose my cardiac infection is when we do the EKG, if there’s an ST elevation, and if the cardiac enzymes, the troponins, a EKMB, are elevated in trends up in the next two hours, he will have to go quickly to the cardiac ad suite. He has a surgical, his cerepandectomy by laterally replacement, and his vital signs are as follows. This is 160 over 95, hypertensive. His heart rate is 102. His respiratory is 24, a little bit altered. His BMI is elevated. He is obese. And his oxygen saturation is 95 arumina. I will explain to Mr. Aragon that how this happened. How do you get a heart attack myocardia infection all of the sudden? So an arteloscleric plaque rupture or trombose forms, and this one will block one of the cardiac arteries. Let me see, you create a block clot and will partially or completely will occlude the blood flow to the heart. A sudden blockage of coronary blood flow leads to ischemia and subsequent necrosis of the myocardia tissue. That’s very painful. That’s why you’re having that chest pain. Mycardia ischemia can happen if we wait too long and he doesn’t get any treatment. We can also tell him that the lack of oxygen may disrupt the ATP production, leading to anaerobic metabolism, lactic acid buildup, and loss of normal electrolyte imbalance. So not only his heart can get damage, also other parts of his body. We also explain, we’ll explain him. If blood flow is not restored quickly, myocardias, cells undergo irreversible necrosis, leading to impair contractility, arrhythmias, heart failure, or cardiogenic shock. It’s very important that we get treatment quickly for this type of patients. The clinical manifestations of this condition is that Aragon is already presenting it. He’s presenting with chest pain that radiates to the arm, the jaw. He didn’t complain of back pain or showness of breath. He did complain of not. He did complain of Nausea. Autonomic nervous system symptoms, patients might experience are faredic, nausea, vomiting, dizziness, and anxiety due to the body’s stress response. Mr. Ragon is already experiencing nausea. Some patients can have hypotension. In this case, my patient is having hypertension. It could be due to the anxiety or just the process that he’s going through with the blockage of his artery. A complication of an MI can be very severe and includes heart failure, aridemia, cardiac shock. It’s very important that his history of diabetes smoking in obesity and his sedentary lifestyle is also a bad factor for having a myocardia infection. All these things get together and that’s how it blows up. Okay. how we diagnose the conditions with an EKG with some blood work he does has a ST elevation EKG when we did it he has elevated troponins elevated cardiac enzymes imaging studies we didn’t do in this case but we can do a CTA to see how bad is the plague is but that calls him score in his body. He’s already presenting with symptoms, so we will go straight to the AKG and labs to see if he qualifies to go to the cardiac heat really quick to prevent any more damage to his heart. Okay, these are my references. I hope everybody enjoy. Bye-bye.