HUMAN A&P E-TEXT ACCESS CODE
HUMAN A&P E-TEXT ACCESS CODE
11th Edition
ISBN: 9780136849063
Author: Marieb
Publisher: PEARSON
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Chapter 18, Problem 6CCS

54-Year-Old Female with a Defective Heart Valve

Dr. El-Sheikh is a 54-year-old Egyptian female who complains of weakness, fatigue, shortness of breath, chest pain, and dizziness. Her heart rate is 96 beats/min, and her blood pressure is 148/54 mm Hg. You notice that she nods her head with every heartbeat, and her radial pulse is very strong and abrupt. Her heart sounds are abnormal, with a long diastolic murmur at the right sternal margin in the second intercostal space.

Chapter 18, Problem 6CCS, 54-Year-Old Female with a Defective Heart Valve Dr. El-Sheikh is a 54-year-old Egyptian female who

Her doctor orders an echocardiogram, which shows that Dr. El-Sheikh has severe aortic regurgitation (backflow of blood through an incompetent valve) and an enlarged left ventricle.

6. NCLEX-STYLE Although Dr. El-Sheikh has a high systolic blood pressure, her heart rate is also high. This is most likely due to:

a. The Bainbridge reflex, caused by increased atrial filling

b. Parasympathetic activation

c. Excessive vagus nerve firing

d. Sympathetic stimulation

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Chapter 18 Solutions

HUMAN A&P E-TEXT ACCESS CODE

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