Question

MK is a 45-year-old female measuring 55 and weighing 225 lbs. M. Rasany UIT with primary hypertension. M. K has recently been diagnosed with chronic bronchitis. Hor current symptoms include chronic cough, more sevole in the M I T headedness, distended neck veins, excessive peripheral edema, and increased urination at night. Her current medications include Lotensin and Lasix for the hypertension along with Glucophage for the type Il diabetes mellitus. The following are lab findings that are pertinent to this case: Vitals 158.96 mm Hg 57% Glycosylated hemoglobin (HbA1C) Arterial Blood Gas Assessment Paco 52 mm Hg Раю. 48 mg Lipid Panel HDL 242 mgid 32 mil 173 mg/dL 184 mga grading criteria For your signature assignment, compose a 3-to page case analysis, written in APA format with a title page and at least 3 references, with one non internet reference. Organize your analysis with heading that thoroughly answer the following prompts. Support your opinions with evidence from your readings and research. Review the rubric for complete 1. in your introduction summarize the case 2 What did findings come with 3Which o US popron chronic bronchitis? What type of treatment and recommendations would be appropriate for M. K's chronic bronchitis? 4 According to the BPv f heart tours would you suspect with MK? Explain the pathogenesis of how this type of heart failure develops. Include an overview of the disease and it's offects in the Interpret the lab w hat stage of hypertension is MK experiencing? Explain the rationale for the current medications for her hypertension. 5. According to the lipid panel, what other conditionis MK at risk for? According to this case study, what other medications should be given and why? What additional findings correlate o rate and expantherionale for this value in relation to normal abnormal body function Points possible: 60 7 Provide a condusion that summarizes your findings and discusses the effects of this disease in the US. population

Answer 1

Q. No. 2. Answer :

From the clinical findings ABG ( arterial blood gas values) we can correlate with M. K'S chronic bronchitis.

Because PaCo₂ is high that is 52 mm of hg, and PaO₂ levels are low that is 48 mm of hg.

Normally PaO₂ levels should be high in ABG.

If low PaO2 indicates patient is having breathing difficulty.

Treatment recommendations :

* drink plenty of fluids.

* take plenty of rest.

* to relieve pain use the Ibuprofen and aspirin.

* Nonsteroidal anti inflammatory drugs can be use.

Q. No. 3. Answer :

" congestive heart failure " we can suspect, because distended neck veins, excessive peripheral edema and excessive urination at night times seen in these condition only.

So he is suffering from " congestive heart failure ".

Pathogenesis :

Renin angiotensin aldosteron pathway stimultates,

* angiotensin l converts into angiotensin ll.

* peripheral vasoconstriction may increases,

* increases over load,

* and decreases cardiac output,

* and it leads to heart failure.

Q. No. 4. Answer :

According to the BP value M. K is suffering from stage 2 or mild hypertension.

Because 140/90mm of hg to 159/99 mm of hg is stage 2 hypertension.

Here the patient is having 158 / 98 mm of hg. So he is suffering from stage 2 hypertension.

Rationale for current medications for hypertension :

Lotensen : it is ACE inhibitor it converts the angiotensin l to vasoconstrictor substance angiotensin ll, and also stimulates the aldosteron secretions by the adrenal cortex.

So that decreases the blood vessels tightening and increases the blood and oxygen supply to the heart by that blood pressure may decreases.

Lasix : it is diuretic, it blocks the absorption of sodium, chloride and water from the filtered fluid from the kidney tubules and increases the excretion of urine to the outside.

So that excess blood pressure may decreases.

Q. No. 6. Answer :

Glycosylated Hemoglobin for this patient is " 7.3 % ".

* the client is having high, normal levels should be below the 6%.

* above 6 % indicates patient having diabetemellitus.

* the glucose should binds to the hemoglobin, by binding it will reduces the life span of RBC.

* so that iron deficiency anemia may develops.