Case Study #3than one block. The chest discomfort is diffuse, and he cannot localize it; sometimes it radiates to hislower jaw. The discomfort is more severe when he walks after meals but is relieved within 2-3 minuteswhen he stops walking.A 74-year-old man presents with a history of anterior chest pressure whenever he walks moreQuestions:1. Assuming that a diagnosis of classic angina is correct, what medical treatments should beimplemented to reduce the acute pain of an attack, to prevent future attacks, and to reduce thechance of blood clotting?

Cardiac events have become a daily occurrence with rising urbanization and a drastic change in…

Answered: Case Study # 3 han one block. The chest…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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What are 3 interventions with rationale for a patient with impaired gas exchange, acute pain, and imbalanced nutrition due to lung cancer.
A. Read this clinical case: Clinical Case #5 A patient arrives at the emergency room and her mother indicates that the patient fell out of her bed. It is quickly examined while cannulating to have an open vein and the following clinical manifestations are observed: ✓ Mydriasis ✓ Lethargy ✓ Dyspnea ✓ Weak pulse ✓ Hypotension ✓ Bradycardia B. The patient is believed to be in shock. Answer these questions depending on the case and symptoms: -What materials and equipment would you use from the emergency car to respond to the emergency? -What diagnostic tests would you do? - Pre and post trauma care. -Customer orientation focused on prevention.
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…
QUESTIONS: 1. Explain the role of dietary fat in atherosclerosis. 2. Define essential fatty acids and give examples.
B
b. What is her CrCl? 4. J.C., a 70 year old male (5'8", 100 kg) is to begin Vancomycin (along with Zosyn and Levaquin) for broad-spectrum coverage for pneumonia (moderate infection with goal AUC 500-600). WBC=13.8, SCr=0.9 mg/dL. Using AUC dosing, please come up with a dosing regimen that is appropriate for JC. a. What is the dosing weight? CrCl ? b. What LD & MD & interval would you recommend? c. When should you order a vancomycin trough for J.C? Now, lets adjust his dose Assume his initial dose was 1750mg g 12h scheduled at 0900 & 2100. Assume his doses were given on time. The hospital policy required an infusion time of 2hr. The peak was 45ug/ml drawn after the 4th dose at 1230, 3.5hr after the start of the infusion. The trough level was 21ug/ml drawn at 2030, 11.5hr after the 4th dose. How would you adjust the dose? a. Calculate the patient specific k b. Calculate Cmax & Cmin c. Calculate the AUC d. Calculate patient specific Vd e. Calculate new dosing interval f. Calculate new…
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…
Multiple Choice. Answer the following questions. 1. During the isovolumic contraction (early ventricular systole) phase of the cardiac cycle: A. The tricuspid and bicuspid valves are closed. B. The mitral and aortic valves are open. C. The tricuspid valve is closed and pulmonic valve is open. D. The mitral valve is open and aortic valve is closed. 2. Pathway of blood circulation in adult. A. Superior vena cava - right atrium - tricuspid valve - right ventricle B. Pulmonary vein - left atrium - mitral valve - left ventricle C. Left ventricle - aortic valve - ascending aorta - brachiocephalic D. Right ventricle - pulmonary valve - pulmonary trunk - pulmonary artery E. All pathways are correct.3.Which period of the heart cycle is completely occupied by the ventricles relaxing? A. atrial systole B. atrial diastole C. ventricular systole D. ventricular diastole
Case Study E.W., a 76-year-old white man, comes to the emergency department after a syncopal episode at a local restaurant. He is accompanied by two friends. Subjective Data Has been feeling weak for a few days Became dizzy and fainted while awaiting his dinner Takes one medication, a “water pill” for high blood pressure Objective Data Physical Examination Blood pressure 92/50, pulse 125 and irregular, respirations 24, temperature 97° F Alert and oriented Lung sounds clear in all fields Diagnostic Studies ECG monitor shows atrial fibrillation Questions What is atrial fibrillation? What additional history should you obtain from E.W.? Describe the risks associated with atrial fibrillation.
2. Prepare a chart listing the causes, symptoms, and nursing considerations for the following heart disorders: Thrombophlebitis Buerger disease 3. Devise a teaching plan for a client newly diagnosed with heart block.
Aa 08.
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