Case Study

Case Study, Cardiovascular Disorders  Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning 3. According to Mrs. Gonzales’ medical history, what has contributed to her myocardial infarction?   4. What should the nurse anticipate doing to prepare Mrs. Gonzales to be discharged?

Case Study, Cardiovascular Disorders  Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning 1.Explain the rationales for the laboratory tests and ECG stress test.   2. What should the nurse do to prepare for the cardiac catheterization that is scheduled?

Heart Failure Case Study James is a 70-year-old male brought to the emergency department (ED) by ambulance with complaints of shortness of breath. The patient's medical record shows a past history of hypertension, diabetes, MI X 2, congestive heart failure (CHF), and chronic renal insufficiency. Upon assessment, James has labored breathing at 36 breaths/min and tachycardia at 112 beats/min. His pulse oximetry is 90% on 40% oxygen via a face mask. Crackles are heard throughout his lungs. 1. List potential causes and risk factors for his condition. 2. Identify the typical symptoms of left-sided heart failure vs. right-sided heart failure with an "L" or an "R" or "B" for both. Cough Blood-tinged sputum Tachycardia Fatigue Nocturnal polyuria Exertional dyspnea Peripheral edema Crackles or wheezes Jugular venous distension Ascites and GI distress Orthopnea Cyanosis Paroxysmal nocturnal dyspnea The physician orders a chest x-ray, ECG, arterial blood gases (ABGS), and lab work to be done.…

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Case Study 3 – Congestive Heart Failure Dottie is a 78-year old CHF patient. She has been exercising with your facility for several years now. She had a CABGx3 in 2020. She came in today with a 5 lb. weight gain since yesterday when she weighed on her home scale this morning. Her meds include- Lipitor, Procardia, and Lasix. (Cholesterol, Calcium channel blocker Hypertension, and Diuretic, respectively) Her blood pressure is 132/88 and her HR = 102; Her weight is 196, up from 191 when last measured. She is a pleasant, overweight individual who enjoys walking on the treadmill and visiting with other members of your facility. 1. What are specific considerations for someone with CHF and exercise? How is the exercise prescription any different from the apparently healthy adult prescription? 2. What is your biggest concern with Dottie today and how would you handle this concern(s)?

Fluid and Electrolytes Case Study Patient Profile: Frances, a 78 years old that lives alone, is admitted to the hospital because of weakness and confusion. She has a history atrial fibrillation and chronic heart failure (HF). On admission it is noted that her at home medications include Digoxin (Lanoxin), Furosemide (Lasix), Metoprolol, Diltiazem and Levothyroxine. Objective Data: Neurologic: Confused; slow to questioning; generalized weakness; states she has trouble focusing his vision- people look green with halo's Cardiovascular: BP 100/59; HR 55 irregular; peripheral pulses weak; ECG indicates Atrial fibrillation with controlled ventricular response Pulmonary: Respirations at 12/min; shallow Skin: decreased turgor; dry mucous membranes Laboratory Results: Digoxin level Electrolytes ● • Mag+ CI- BUN CBC Na+ K+ ABG ● RBC ● WBC ● Creatinine Glucose CO2 Hemoglobin Hematocrit Platelets pH PaO2 PaCO2 HCO3- 1.0 ng/ml 134 mEq/L 2.5 mEq/L 1.2 mEq/L 88 mEq/L 42 mg/dL 0.9 mg/dL 122 mg/dL…

Topic: Capillary Puncture Questions  1.    Why do we need to wipe the first drop of blood after puncturing the fingers?2.    State the advantages and disadvantages of capillary puncture.

Patient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenously

QUESTIONS: 1. Explain the role of dietary fat in atherosclerosis. 2. Define essential fatty acids and give examples.

Answer the ff. questions briefly  1. Describe the baroreceptor reflex when the blood pressure increases and decreases. 2. How is the mean arterial pressure related to heart rate, stroke volume and peripheral resistance? 3. For each of the following hormones, describe their effect/s on the circulatory system: Epinephrine, Renin, Angiotensin II, Aldosterone, ADH, and ANP

Please answer the second question

Edema Case Study Questions The following four patients all have severe edema for different reasons. Your challenge is to explain the cause of the edema. In each case, try to explain the edema in terms of either an increase or a decrease in one of the four pressures that cause bulk flow at capillaries. A picture may be useful. Patient 1: Mr. Taylor Mr. Taylor is a 66 year old alcoholic who has been drinking for years. During the past month he has gained over 25 pounds due to water retention. He exhibits swelling in all areas of the body. He has recently been admitted to the hospital and diagnosed with end stage liver failure. What is the connection between the liver failure and his edema? Which capillary pressure is altered and how does it cause edema? Hint: consider the functions of the liver, particularly the ones that affect blood composition.  Patient 2: Mrs. So   Mrs. So is a 28 year old visiting her OB in the 26th week of her pregnancy. She is experiencing varicose veins and…

Case Study Link: https://telegra.ph/Case-study-10-09 (Please read it before answering)1. QUESTION:What information systems are implemented by JurongHealth? Describe the input, processing, and output of any one such system.

Help with questions 1-3 please

Question CASE STUDY SCENARIO   Mr. Zane is a 65 –year-old African Canadian male from Brampton, Ontario, Canada. He came to the Emergency Department with his wife of 30 years. Mr. Zane was sent to the Emergency Department by his primary healthcare provider because “he has not been feeling well” for the past few days. He describes a fullness in his head and chest without any associated symptoms. His medical history is pertinent only for primary hypertension, and he states that he ran out of his medication two weeks before he started experiencing symptoms.   Physical examination reveals an anxious man with a BP of 230/130 mm Hg and a heart rate of 108 beats per minute. Respirations are elevated at 22 breaths per minute. No papilledema is seen on funduscopic examination. Lungs have bilateral crackles, one quarter up from the bases. Cardiac examination reveals a regular tachycardic rhythm with normal S1 and S2. Jugular venous pressure is normal but demonstrates sustained fullness with…

A. Terminology Write the term defined below in the answer column. 1. Inflammation of the kidney (general). 2. Albumin in the urine. 3. A measure of the concentration of solutes in urine. 4. Erythrocytes in the urine. 5. Inflammation of the urinary bladder. 6. Most abundant inorganic compound in urine. 7. Leukocytes or pus components in the urine. 8. pH range of normal urine. 9. Hemoglobin in the urine. 10. More than a trace of glucose in the urine. 11. Ketones in the urine. 12. Inflammation of the kidney involving glomeruli. 13. Accumulations of materials hardened in tubules. 14. Most abundant nitrogenous waste. 15. Excessive urine production. 16. Bile pigment in the urine. 17. Inflammation of the urethra. 18. Kidney stones. 19. Little or no urine production. 20. Most abundant inorganic solute in urine. B. Clinical Significance Select the name of the possible clinical condition from the list below that is indicated by the urinalysis results. Write your answer in the answer column.…

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2- need help with following. please be specifiy about answer

Please answer questions 5 only thank you

help on part F - please include sketch

CASE STUDY SCENARIO Mr. Zane is a 65 –year-old African Canadian male from Brampton, Ontario, Canada. He came to the Emergency Department with his wife of 30 years. Mr. Zane was sent to the Emergency Department by his primary healthcare provider because “he has not been feeling well” for the past few days. He describes a fullness in his head and chest without any associated symptoms. His medical history is pertinent only for primary hypertension, and he states that he ran out of his medication two weeks before he started experiencing symptoms. Physical examination reveals an anxious man with a BP of 230/130 mm Hg and a heart rate of 108 beats per minute. Respirations are elevated at 22 breaths per minute. No papilledema is seen on funduscopic examination. Lungs have bilateral crackles, one quarter up from the bases. Cardiac examination reveals a regular tachycardic rhythm with normal S1 and S2. Jugular venous pressure is normal but demonstrates sustained fullness with abdominal…

CASE STUDY SCENARIO Mr. Zane is a 65 –year-old African Canadian male from Brampton, Ontario, Canada. He came to the Emergency Department with his wife of 30 years. Mr. Zane was sent to the Emergency Department by his primary healthcare provider because “he has not been feeling well” for the past few days. He describes a fullness in his head and chest without any associated symptoms. His medical history is pertinent only for primary hypertension, and he states that he ran out of his medication two weeks before he started experiencing symptoms. Physical examination reveals an anxious man with a BP of 230/130 mm Hg and a heart rate of 108 beats per minute. Respirations are elevated at 22 breaths per minute. No papilledema is seen on funduscopic examination. Lungs have bilateral crackles, one quarter up from the bases. Cardiac examination reveals a regular tachycardic rhythm with normal S1 and S2. Jugular venous pressure is normal but demonstrates sustained fullness with abdominal…

CASE STUDY SCENARIO  Mr. Zane is a 65 –year-old African Canadian male from Brampton, Ontario, Canada. He came to the Emergency Department with his wife of 30 years. Mr. Zane was sent to the Emergency Department by his primary healthcare provider because “he has not been feeling well” for the past few days. He describes a fullness in his head and chest without any associated symptoms. His medical history is pertinent only for primary hypertension, and he states that he ran out of his medication two weeks before he started experiencing symptoms. Physical examination reveals an anxious man with a BP of 230/130 mm Hg and a heart rate of 108 beats per minute. Respirations are elevated at 22 breaths per minute. No papilledema is seen on funduscopic examination. Lungs have bilateral crackles, one quarter up from the bases. Cardiac examination reveals a regular tachycardic rhythm with normal S1 and S2. Jugular venous pressure is normal but demonstrates sustained fullness with abdominal…

Case #2Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years, but quit 3 years ago. Part 1: What is his arterial-venous oxygen content (Ca-vO2) difference? Part 2: Calculate his extraction ratio please.