Explain how this dose of dopamine works to help treat Mr.P’s heart failure. Case summary: Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

Question

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Answer 1

Question

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

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Answer 2

Question

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

Expert Solution & Answer

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See solution

Answer 3

Question

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

Expert Solution & Answer

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Answer 4

Question

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

Expert Solution & Answer

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See solution

Answer 5

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

Answer 6

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

Answer 7

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

Answer 8

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

Answer 9

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

Answer 10

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

Answer 11

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

Answer 12

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

Answer 13

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

Answer 14

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Answer 15

Expert Solution & Answer

Answer 16

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Answer 17

Ch. 18 - Prob. 1O Ch. 18 - Prob. 2O Ch. 18 - Prob. 3O Ch. 18 - Prob. 4O Ch. 18 - Prob. 1CS Ch. 18 - Prob. 1NERQ Ch. 18 - Prob. 2NERQ Ch. 18 - Prob. 3NERQ Ch. 18 - Prob. 4NERQ Ch. 18 - Prob. 5NERQ

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Chapter 18 Solutions