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Scenario: M.W. is a 65-year-old female. She is a retired auto worker who lives in a...

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 >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: What goals do you have for M.W.’s care? Name 2.

(P.S. please have answer be in depth).

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Answer #1

The goals for M.W are

  • To relieve the patient from breathing difficulty
  • To regain the capillary reperfusion in the lower limb (may be because of peripheral vascular disease)
  • To restrict activities that may aggrevate exertion
  • Maintaining a normal oxygen saturation and respiratory rate (to prevent respiratory distress)
  • Crackles in the lower lobe may be sign of pulmonary edema or fluid as a result of heart failure
  • The patient is over weight ,so weight management to be initiated
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