NR 603 Week 3TD1 Questions and Answers 1. What is your primary diagnosis causing Larry M.’s chest pain? Include ICD 10 codes (no differentials).

What other secondary diagnoses does Larry M. have that need to be addressed?

Answer: Larry M. likely has several secondary diagnoses that need to be managed alongside his NSTEMI:

  • Hypertension (ICD-10: I10): Hypertension is a major risk factor for coronary artery disease and myocardial infarction. Larry’s blood pressure should be closely monitored and managed to prevent further cardiovascular complications.
  • Hyperlipidemia (ICD-10: E78.5): High cholesterol levels increase the risk of atherosclerosis, leading to coronary artery disease. Managing Larry’s lipid levels with lifestyle changes and possibly statin therapy is essential.
  • Dyslipidemia (ICD-10: E78.5): This refers to abnormal lipid levels in the blood, particularly high LDL or low HDL, contributing to plaque formation in coronary arteries.
  • Type 2 Diabetes Mellitus (ICD-10: E11.9), if applicable: If Larry has diabetes, it is a significant risk factor for coronary artery disease and needs strict glucose control to reduce cardiovascular risks.
  • Obesity (ICD-10: E66.9), if applicable: Obesity exacerbates other cardiovascular risk factors like hypertension and hyperlipidemia and should be addressed through weight management strategies.

Conclusion: These secondary conditions are critical to address in Larry’s care plan to reduce the risk of future cardiac events and improve overall cardiovascular health.