CONTEXT: You are a Registered Nursing working in an Aboriginal Community Controlled Health Organisation
(ACCHO) in the South East corner.
Mr Bonner, a 47-year-old Aboriginal man presented to the ACCHO with central radiating chest pain. Mr Bonner was
transferred to Griffith University Hospital for cardiac monitoring and follow up. Upon reviewing Mr Bonner’s medical
history and progress notes you identify the following: hypertension and type 2 diabetes. Mr Bonner has a family history of
coronary heart disease, is a smoker and consumes a diet high in sugar and saturated fats. Mr Bonner sees his general
practitioner every six months for renewal of medication prescriptions. Mr Bonner lives at home with his extended family.
Current vital signs:
Temperature 37.3°C, Blood Pressure 150/90 mmHg, Pulse 84 beats/minute, and Respiratory Rate 15 breaths/minute; BGL
15.5 mmol/L, Pain 6/10.
• Metformin 1g PO BD
• Actrapid 4 units S/C TDS
• Metoprolol 25mg PO BD