Patient Profile
M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday.
Basic Assessment Data
A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2 saturation 89% on RA. S1 and S2 audible without murmur, cap refill >2 secs lower extremities, <2 secs in upper extremities. Vitals: BP 100/60, HR 84, RR 28, Temp 36.1C
Ht: 5’ 5” Wt: 200 lbs.
Question #1:
Based on these findings, what type of HF does MW have? Why?
Question #2:
What risk factors for HF does MW have?
Question #3:
What other manifestations of HF will you assess for?
Question #4:
Do you believe her HF is acute or chronic? Why?
1.
MW experienced congestive heart failure , since she has shortness of breath with crackles.crackles may be due to pulmonary edema, in which heart fail to pump blood and it gets pooled in the lungs ( air sac).
2.
She has had a history of myocardial infarction , kown case of diabetis mellitus and leading a sedentary lifestyle. These are the risk factors for heart failure in MW .
3.complaints of pain.
Edema on lower extremities due to pooling of blood
Tiredness or fatigue due to decreased supply of blood to extremities to increase blood supply to vital organs.
Nausea or lack of appetite due to decreased blood supply to digestive system.
Confusion due to electrolyte changes
Patient Profile M.W. is a 65-year-old female. She is a retired auto worker who lives in...
Scenario: M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday. A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2saturation 89% on RA. S1and S2audible without murmur, cap refill...
Scenario: M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday. A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2saturation 89% on RA. S1and S2audible without murmur, cap refill...
Scenario: M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday. A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2saturation 89% on RA. S1and S2audible without murmur, cap refill...
Scenario: M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday. A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2saturation 89% on RA. S1and S2audible without murmur, cap refill...
Scenario: M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday. A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2saturation 89% on RA. S1and S2audible without murmur, cap refill...
Scenario: M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday. A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2saturation 89% on RA. S1and S2audible without murmur, cap refill...
Scenario: M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday. A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2saturation 89% on RA. S1and S2audible without murmur, cap refill...
Scenario: M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday. A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2saturation 89% on RA. S1and S2audible without murmur, cap refill...
Scenario: M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday. A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2saturation 89% on RA. S1and S2audible without murmur, cap refill...
77 year-old female presents to ER with shortness of breath • States she did not take her heart medications for last 48 hours- was not able to refill her prescriptions • Complains of difficulty breathing; she had to “sleep in the chair” last night • States she has some swelling in her feet that is worse than usual Medical history: type 2 DM, CHF, MI 2015, osteopenia, osteoarthritis Allergies: bananas, kiwi fruit, Cipro Medication list Lasix 40 mg PO BID...