Topics: Myocardial infarction, Hypertension, Oxygen Pages: 1 (285 words) Published: September 4, 2010
Mohat is a 52 year old man who presented to the Emergency Department by his wife Dorga, with chest pain and difficultly breathing. Mohat has been living in Australia for the past two years with his family and is originally from a tiny area in Africa. During triage, the nurse finds it hard to gather personal information from him due to his lack of communication skills and understanding of English. Therefore the nurse went ahead with her usual job without explaining the procedures to Mohat and later obtained results from his vital observations, which included temperature, heart rate, blood pressure, oxygen saturation and his respiration rate. She also managed to get an electrocardiogram (ECG) and gave him some 4L of oxygen via a simple facemask but Mohat felt very afraid. The nurse did not review his pain, because she couldn’t understand him very well. When the doctor reviewed him, he stated that his heart rate was dangerously irregular and had a high blood pressure reading, which accounted to his chest pain and difficulty breathing, therefore this was serious. The doctor immediately suggested that Mohat should receive some beta-blockers, which plays with the heart’s function, in the hope to reduce the irregular heart rate and blood pressure. Both partners stared at each other and looked worried, but there was more to it. The doctor gathered that coming from Africa, they were unaware of the Western culture medicines used now to treat certain diseases because this couple did everything naturally back home if they were to be sick. It was up to Mohat and his wife to make that critical decision, if they were going to go ahead with the treatment or not”
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