Question

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Case Study

TJ, a 60-year-old man, underwent heart transplant surgery 2 days ago, and has been doing well in recovery. So far, the surgery looks like it will be successful, however, the nurses are wary, and keep a vigilant eye on him.

This is two question, Please answer separate please. Really? I ask again that mean you not answer right. I pay for you to repase the old one

Question

1. TJ has been feeling quite introspective recently, and he has been spending a lot of time thinking about what led to this surgery. It all seemed to happen very suddenly for him, and he is having trouble remembering the specific details, so he asks the nurse what methods were used to diagnose the need for a heart transplant. What might the nurse tell him?
2. TJ is reflecting on his heart failure and thinking back to all of the tests that were performed before his diagnosis. What kinds of tests might TJ have gone through for his heart failure diagnosis?

Answer 1

1. T J has been feeling quite introspective recently, and he has been spending a lot of time thinking about what led to this surgery. It all seemed to happen very suddenly for him, and he is having trouble remembering the specific details, so he asks the nurse what methods were used to diagnose the need for a heart transplant. What might the nurse tell him?

• ECG: It is a recording done with regard to the electrical activity of the heart, to assess the function and efficiency of the heart.
• Chest X-ray: Chest X-ray are done to locate the position of heart as well as the size of the heart.
• Blood and Urine Test: Blood test are done to check to presence of infection as well as inflammation. Urine test is also done to check the turbidity of urine, specific gravity etc.
• Cardiopulmonary Stress Test: This test is done on a thread mill. It is done until the target heart rate is achieved. This helps to understand the extent of damage to the heart as well as to what extent oxygen is delivered to the heart muscles.
• Echocardiogram: This test helps to determine the shape ,size of heart valves and heart chambers.
• Heart Catheterization: This helps to determine the presence of any blocks within the arteries by the insertion of contrast dye.
• Pulmonary Function Test: This makes a health provider understand the ability with which lungs function.

2. T J is reflecting on his heart failure and thinking back to all of the tests that were performed before his diagnosis. What kinds of tests might T J have gone through for his heart failure diagnosis?

Symptoms with which T J might have gone to hospital might be:

• Fatigue, tiredness, weakness in the body
• Fainting when involved in physical activity.
• Irregular heartbeats.
• Chest pain on physical activity or when heavy meals are taken.
• Heart murmurs.

The diagnostic test which might have been done on TJ to check for heart failure are:

• Chest X-ray: This helps us by revealing if there is any fluid buildup or if the heart is enlarged by taking images of the heart.
• ECG: It determines the electrical activity of the heart. It recognizes irregular and fast heart beats.
• Holter Monitors: This device monitors hearts electrical activity when doing daily and normal activities.
• Stress Test:This test helps to determine how well the heart is able to work with respect to the damage caused to the heart.
• Blood test: Blood is drawn through the vein in order to check for ESR, blood counts, RBC, WBC, electrolyte levels etc.