Coronary Artery Disease with a Primary Comorbidity of Type II Diabetes

fleece Geis is a 65-year-old Hispanic male from Cleveland, Ohio. He and his wife were visiting friends in Jacksonville as part of a multi-stop Florida vacation. Rob was brought to the want department of St. Vincent Medical Centers Southside location on the eventide of January 27, 2014, by ambulance after he experienced a total bolshie of consciousness maculation dining at a restaurant with his wife and a group of friends. Rob has no recollection of the event. His wife account he stumbled as he was returning from the restroom, but did not light up and was able to make it into his chair at the table. She noticed he did not look well and he was pale. Once he was seated his draw kept dropping and then he lost consciousness for a few seconds. His wife said he appeared very gray and sweaty. The extremity responders reported Rob had a low respiratory rate during discernment at the scene.Rob Geis reported he has never before had an consequence of syncope. He denied hav ing any heart palpitations, chest pains, or shortness of glimmering prior to losing consciousness. Prior to the episode he experienced no diaphoresis, fever, chills, dizziness, headache, or neck pain or stiffness. He also had no nausea, vomiting, diarrhea, ab pain, rectal bleeding, hematuria, dysuria, focal weakness, or sensory changes. Also, there were no witnessed indications of ictus activity.Prior to the episode Rob Geis had an active day playing play with friends and had consumed several alcoholic beverages, but these are not unusual activities for him. Rob reported he had experienced upper back pain, which is uncommon for him, while playing golf. His upper back pain had dissipated prior to the episode of syncope. Rob also reported that approximately ... ...& K.L. McCance (Eds.), Understanding pathophysiology (5th ed., pp. 447-476). St. Louis, MO MosbyLittle, T.K. (2013). judging of the Cardiovascular System. In D.A. Ignatavicius & M.L. Workman (Eds.), Medical-surg ical nursing Patient centered cooperative care (7th ed., pp. 686-710). St. Louis, MO SaundersODonovan, K. (2012). Management of diabetes and acute coronary syndromes. British diary of Cardiac Nursing, 7(8), 370-375. Roger, V.L., Go, A.S., Lloyd-Jones, D.M., Benjamin, E.J., Berry, J.D., Borden, W.B., Turner, M.B. (2012). Heart disease and stroke statistics2012 update A report from the American Heart Association. Retrieved from http//circ.ahajournals.org/content/125/1/ e2.full.pdf+hypertext markup languageTierney, P., Hughes, C., & Hamilton, S. (2011). Promoting health behaviour change in the cardiac patient. British Journal of Cardiac Nursing, 6(3), 126-130.