Question

Can I please get help with this Nursing question? :))

CASE A 22- year-old, male, factory worker, diagnosed previously with Rheumatic Fever and is receiving Penicillin G 5 Million unit every month since age 17. Two years prior to consultation she started to experience shortness of breath while elimbing 1 flight of stairs or lifting heavy objects. No consultation was done. After a year, he was not able to work anymore because of difficulty of breathing at rest which was accompanied by orthopnea, dyspnea, and pedal edema. She consulted a physician in a community health center and was prescribed with Furosemide 40 mg BID which she took for about a week. Symptoms abated but she did not go back for follow up. She took Furosemide 40 mg irregularly whenever he is symptomatic. One month prior to consultation, she was unable to lie down on bed because of difficulty of breathing despite taking Furosemide. She still has bipedal edema and eas)y fatigability. She was brought to the emergency room by her mother paroxysmal nocturnal What is the chief complaint? When was the onset of her manifestation? 2. 3. What information in the history should be placed under Past Medical History

Answer 1

1. She is unable to lie down on bed due to difficulty of breathing despite taking fursemide. she still has bipedal edema and easy fatigability.

2. After a year later of her starting symptoms manifestations begun.

3.the patient is on penicillin g for rheumatic fever since the age of 17. Two years prior to consultation she had shortness of breath while climbing stairs or lifting objects. after a year later she was not able to work because of the shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and bipedal edema. She consulted a physician in the community health center and he prescribed Furosemide 40 mg BID .took the medicine for one week and got a relief from the symptoms. but stopped the medicine and continued to take when only symptomatic.