Shane’s grandmother, Maria, is a 67-year-old retired, clinically obese woman, who lives with her life partner, Robin. Sh

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Shane’s grandmother, Maria, is a 67-year-old retired, clinically
obese woman, who lives with her life partner, Robin. She enjoys
sitting down to a movie every night with a large packet of salt and
vinegar chips or a tub of cookies and cream ice cream. She has
always loved a glass or two of wine with dinner but now figures she
can have a few more since she no longer has to get up for work.
Maria doesn’t like to exercise; her only form of exercise is
walking around Coles on Friday whilst doing her weekly shopping.
Her sister has asked her to join her walking group on numerous
occasions, but Maria would rather stay home and bake. Maria’s
mother moved in with her many years ago when her father passed away
from a heart attack at the age of 60. Her mother isn’t in the best
of health: she has type II diabetes and hypertension, which are
under control.
One day Maria decides to visit her neighbour, taking with her a
batch of freshly baked cookies. Whilst walking to her neighbour’s
house, she notices that she is short of breath and is feeling a
slight pain in her chest, but when she sits down, she feels fine,
so she dismisses it once again, putting it down to her poor
fitness. However, on her way home she begins to feel light-headed
and weak and feels like she is going to be sick. She notices that
she has been feeling like this quite a lot lately, even when
resting in the evening, so she decides to make an appointment with
her GP for later in the week.
At the medical clinic, the GP takes Maria’s blood pressure
reading. It has been elevated on a number of occasions, and today
is no different—the reading shows 140/95 mmHg. The GP prescribes an
ACE inhibitor and tells Maria she really needs to make some
lifestyle changes. He writes a referral for her to see a
cardiovascular specialist for an ECG and a coronary angiogram to
determine why Maria has been short of breath and unwell.
One day, whilst waiting for her results, Maria starts to feel
more nauseous and dizzier than usual. She starts to feel clammy and
sweaty, and her face seems grey in colour. The chest pain returns
but now feels like a crushing pain, and she can’t breathe. Robin
dials 000, and she is rushed to hospital. An ECG shows that Maria
has an ST elevation, and a blood test indicates that she has high
levels of cardiac-specific troponin in her blood. Maria is given
heparin intravenously as well as an anti-platelet and a
fibrinolytic drug. She is taken into surgery, where a coronary
angioplasty is performed.
Question 3/4 Name the condition Maria was
suffering from when she was rushed to hospital and
discuss two clinical findings that support your
suggestion. (3 marks)
Question 3/6. Based on what you learnt about
pharmacodynamics in BIOL122and considering the drugs that Maria is
currently prescribed in BIOL122, explain why care
is needed if Maria is planning on taking aspirin (3
marks)