Part 1 A 62-year-old retired elementary school teacher presents to the emergency room with complaints of...
Part 1
A 62-year-old retired elementary school teacher presents to the emergency room with complaints of shortness of breath, swelling, and generally not feeling well.
Related Question #1
What physical assessments are priorities given her symptoms?
Related Question #2
What diagnostic tests should be ordered immediately? Explain the purpose(s) of each.
Part 2
Vital signs are obtained and recorded as BP 90/48, R24, HR 100 irregular and varying pulse quality, T 97.8°F, pulse oximetry at 92%. Cardiac monitor reveals atrial fibrillation with variable ventricular response. The following laboratory values are returned: troponin
Related Question #3
Which of the laboratory tests are abnormal?
Related Question #4
What do the abnormal tests indicate?
Part 3
Physical examination reveals obese white female in acute distress with frequent deep sighing breaths. HEENT unremarkable, CN I to CN XII grossly intact. Responds slowly but accurately and appropriately. Negative jugular vein distention. Chest: crackles lower lobes bilaterally. Pansystolic murmur, irregular rhythm. Abdomen: mildly distended, soft with bowel sounds present all quadrants. No organomegaly. Genitalia: deferred. Extremities: moves all extremities on command.2+ pitting edema bilaterally.
Related Question #5
Which physical signs and symptoms are indicative of congestive heart failure?
Related Question #6
What are the expected interventions?
Related Question #7
What is the purpose of each of these medications in the treatment of CHF?
Homework Answers
1)The physical assessment called Visual Analogue Scale to assess dyspnea will be helpful for the physician in making assessment. The patient has to be assessed for the intensity of dyspnea,cyanosis to be assessed on finger nails,toe nails and lips.Auscultation for heart sounds to be done, checking pulse and BP,check for signs of heart muscle of valve problems
2)A ECG test has to be ordered immediately because it is the primary tool to identify any cardiac conditions like atrial fibrillation.
3)The laboratory test like Troponin are elevated When there is an insult to the cardiac system .The laboratory test are related to thyroid level renal and liver function test.
4)The abnormal test value indicates the patient has Acute cardiac failure (Atrial fibrillation, variable ventricular responses
Add Answer to:
Part 1
A 62-year-old retired elementary school teacher presents to the
emergency room with complaints of...
A 40-year-old male with a history of intravenous drug use comes to the emergency room because...
A 40-year-old male with a history of intravenous drug use comes to the emergency room because of a rash and fever. In addition, the patient is complaining of a several-day history of malaise, fatigue, fever, headache, and a sore throat. Physical examination reveals a moderately ill-appearing male with a temperature of 101.6°F. He has a blanching erythematous, macular-papular rash evident over the trunk, back, and upper and lower extremities. In addition, his throat shows enlarged tonsils and broad-based ulcerations on...
Case Presentation Miguel is a 63 year male patient who presented to the emergency department complaining...
Case Presentation Miguel is a 63 year male patient who presented to the emergency department complaining of a week history of progressive dyspnea, wheezing and productive cough with whitish phlegm. He denies any recent cold or flu-like symptoms. Miguel also denies any fever or chills. He has been using his Ventolin MDI but symptoms are worsening. On assessment you noted that the client developed severe dyspnea with exertion. He was assuming a tripod position and became pale and diaphoretic with...
A 24-year-old female presents to the walk-in clinic with complaints of increased urinary urgency and a...
A 24-year-old female presents to the walk-in clinic with complaints of increased urinary urgency and a burning sensation during urination, for the past three days. The patient relates that she has had a urinary tract infection in the past, about age 15, but denies any other problems with her urinary tract since then. She tells you that she recently began a new job as a second-grade teacher in the public school system, which required her to go three to four...
A 24-year-old female presents to the walk-in clinic with complaints of increased urinary urgency and a...
A 24-year-old female presents to the walk-in clinic with complaints of increased urinary urgency and a burning sensation during urination, for the past three days. The patient relates that she has had a urinary tract infection in the past, about age 15, but denies any other problems with her urinary tract since then. She tells you that she recently began a new job as a second-grade teacher in the public school system, which required her to go three to four...
Spring 2020 NRS 160 Case Study Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco...
Spring 2020 NRS 160 Case Study Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department in respiratory distress with shortness of breath, retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 140 beats/min, rapid and irregular and temperature is 37°C. He also complains of chest discomfort and left leg pain (8 on 0-to-10 scale). His skin color is pale gray,...
Case Study Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history...
Case Study Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department in respiratory distress with shortness of breath, retracting respirations of 26 breaths/min. BP is 154/76 mm Hg, pulse is 140 beats/min, rapid and irregular and temperature is 37°C. He also complains of chest discomfort and left leg pain (8 on 0-to-10 scale). His skin color is pale gray, his chest is...
Paragraph Case Study Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a...
Paragraph Case Study Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department in respiratory distress with shortness of breath, retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 140 beats/min, rapid and irregular and temperature is 37°C. He also complains of chest discomfort and left leg pain (8 on 0-to-10 scale). His skin color is pale gray, his chest...
CASE STUDY: PELVIC PAIN An 18-year-old woman presents to the emergency department with severe abdominal pain,...
CASE STUDY: PELVIC PAIN An 18-year-old woman presents to the emergency department with severe abdominal pain, which has been progressive over the last 3 days. Her menstrual period was due about the time her symptoms started. She admits to being sexually active with several partners in the past 2 months with inconsistent use of birth control 1. What are signs of inflammation given in the patient's history? 2. Which cardinal signs of inflammation can you see in the above images?...
Mrs. D. presents to the emergency department (ED) complaining of progressive dyspnea on exertion and lower...
Mrs. D. presents to the emergency department (ED) complaining of progressive dyspnea on exertion and lower leg edema over the past 3 days. She states that she cannot climb the stairs to her second-floor bedroom without gasping for air, which she had no problem doing last week. The ED nurse attaches Mrs. D. to a cardiac monitor and obtains vital signs. Mrs. D. has sinus tachycardia -04 beats per minute. Her blood pressure is 170/94 mm Hg and her respiratory...
45-year-old man with a history of IV drug use presented to the emergency room complaining of...
45-year-old man with a history of IV drug use presented to the emergency room complaining of a rash and fever.The patient also complained of a several-day history of malaise, fatigue, headaches, and a sore throat. Physical examination revealed a moderately ill-appearing man with a temperature of 38.8°C (102°F). He had a blanching erythematous, macular-papular rash evident over the trunk, back, and upper and lower extremities. In addition, his throat showed enlarged tonsils and broad-based ulcerations on the buccal mucosa. He...
A 24-year-old female presents to the walk-in clinic with complaints of increased urinary urgency and a burning sensation during urination, for the past three days. The patient relates that she has had a urinary tract infection in the past, about age 15, but denies any other problems with her urinary tract since then. She tells you that she recently began a new job as a second-grade teacher in the public school system, which required her to go three to four...
A 24-year-old female presents to the walk-in clinic with complaints of increased urinary urgency and a burning sensation during urination, for the past three days. The patient relates that she has had a urinary tract infection in the past, about age 15, but denies any other problems with her urinary tract since then. She tells you that she recently began a new job as a second-grade teacher in the public school system, which required her to go three to four...
Case Study Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department in respiratory distress with shortness of breath, retracting respirations of 26 breaths/min. BP is 154/76 mm Hg, pulse is 140 beats/min, rapid and irregular and temperature is 37°C. He also complains of chest discomfort and left leg pain (8 on 0-to-10 scale). His skin color is pale gray, his chest is...
Paragraph Case Study Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department in respiratory distress with shortness of breath, retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 140 beats/min, rapid and irregular and temperature is 37°C. He also complains of chest discomfort and left leg pain (8 on 0-to-10 scale). His skin color is pale gray, his chest...
CASE STUDY: PELVIC PAIN An 18-year-old woman presents to the emergency department with severe abdominal pain, which has been progressive over the last 3 days. Her menstrual period was due about the time her symptoms started. She admits to being sexually active with several partners in the past 2 months with inconsistent use of birth control 1. What are signs of inflammation given in the patient's history? 2. Which cardinal signs of inflammation can you see in the above images?...
Most questions answered within 3 hours.
-
A coach uses a new technique to train gymnasts. Seven
gymnasts were randomly selected and their...
asked 47 minutes ago -
While rotating the tires on your car you notice a rock [mass =
0.1 Kg] stuck...
asked 2 hours ago -
Using MARS simulator, write MIPS programs according to
the following scenarios: Receive a positive integer number...
asked 4 hours ago -
An object in front of a concave mirror has a real image that is
11.5 cm...
asked 4 hours ago -
Consider the reaction, C3 H8 + O2 --> CO2 + H2O. How many
moles of O2...
asked 6 hours ago -
You and your opponent both roll a fair die. If you both roll the
same number,...
asked 6 hours ago -
In a study of the accuracy of fast food drive-through orders,
Restaurant A had 257 accurate...
asked 6 hours ago -
Identify and describe in detail the four categories of
institutions that could be included in a...
asked 6 hours ago -
In python
class Customer:
def __init__(self, customer_id, last_name, first_name, phone_number, address):
self._customer_id = int(customer_id)
self._last_name =...
asked 7 hours ago -
What is an example of a limitation in implementing a new
ERP system and how it...
asked 7 hours ago -
In a section of 9.7cm of an artery with a radius of 2.6mm there
is a...
asked 7 hours ago -
the two carboxylic acid groups of aspartic acid have different
acidities with pKa values of 2.1...
asked 7 hours ago