Instructions: Response must be at least 510 words written in

Instructions: Response must be at least 510 words written in current APA format with at least two academic references cited. References must be within the last five years.

Hematopoietic:
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.

Case Study Questions

  1. Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
  2. Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
  3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
  4. The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
    In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
  5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
  6. Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.

Cardiovascular
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.

Case Study Questions

  1. For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
  2. What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
  3. Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
  4. How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
  5. Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

patient file

Your final project for this course will be a patient record analysis. You will apply the knowledge of anatomy, physiology, and pharmacology that you have developed during this course in a thorough review of existing patient information in the Final Project Patient File. Specifically, you will review a patient’s history

610 6-1 Discussion: Improve, Part Two—Mitigating Unwanted Consequences

 The Essential Workplace Conflict Handbook. Including the IMPROVE Supplementary Document. Next, in your initial post, address the following: • In what ways do you perceive the Improve phase as being informed by the other phases of DMAIC that you have worked with in the course thus far? • How can

Code of conduct

 For this assignment, Write a paper about employee codes of conduct using information from your textbook and at least two other scholarly sources. First, research employee codes of ethics, especially for the medical field. Next, find some examples of employee codes of ethics from medical facilities and choose the one

Human Growth and Development

Scenario: Simon Whitaker is 42 years old and has suffered from mental illness since his late teens. He lives in a flat in a large housing estate. He lost his job as a warehouse cleaner after he was admitted to hospital the last time he became ill, two years ago.

Exporting Security

Write a 2 page argumentative essay on the links provided below. Link 1: https://www.airuniversity.af.edu/SSQ/Book-Reviews/Article/1292320/exporting-security-international-engagement-security-cooperation-and-the-changi/ Link 2:https://digital-commons.usnwc.edu/cgi/viewcontent.cgi?article=1049&context=nwc-review Link 3: https://digital-commons.usnwc.edu/cgi/viewcontent.cgi?article=1049&context=nwc-review #Exporting #Security

Organizational culture and values

 Details: Prepare a 10-minute presentation (10-15 slides, not including title or reference slide) on organizational culture and values. Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes. Discuss how an individual can use effective communication techniques to overcome

Document Analysis

Document Analysis (5% – c. 500 words) Primary sources are writings that were produced by individuals or groups at the time of the historical events or issues that they deal with. A number of such documents have been placed on Blackboard, organized by course unit. This assignment requires you to

M3D1: Big Data

The discussion will examine the social interaction of participants regarding an issue or situation and its impact on research data. This discussion addresses the following module outcomes: •MO1: Become familiar with the process of conducting marketing research methods and research tools •MO2: Review the process marketers use for identifying and

Case Study 1 and 2 Pneumonia and Addison diseases

Review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle. Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program) Turn it in Score

Should schools ban unhealthy snack machines?

 Your outline should include: An explanation of the controversial issue, why is it controversial? Identify which position or side you will take in your paper, and explain why. If you don’t agree with the position you are taking discuss how this could affect your argument on the topic. If you

The Outcome of Inequality of Wealth and Income

Research Topic: Submit an idea for a research study based on a business/economic problem. • Write the title of the study. • Explain your overarching aim for the study. • What is the problem? • What is the significance of it? • Draft at least two research questions. Due 1/27

“practice of professional engineering”

1. “practice of professional engineering” means any act of planning, designing, composing, evaluating, advising, reporting, directing or supervising that requires the application of engineering principles and concerns the safeguarding of life, health, property, economic interests, the public welfare or the environment, or the managing of any such act; (“exercice de

Curriculum Development and Evaluation

 Learning Materials: Keating, S. B. (2011). Curriculum development and evaluation in nursing (2nd ed.). New York: Springer. (Chapter 13) Books are on website Vital Source user name is sred9196@yahoo.com, the password is Bungalow9@ • Exercise #1: Address an educational need among nursing staff at a health care agency. In the

Epidemiology and Surveillance

Research the public health agency in Chicago, IL and develop a presentation on its structure, response capabilities, surveillance tools, and role in emergency management. In your response, include a description of the community served by the department (Chicago), its emergency response structure, surveillance systems that are used at hospitals, biohazard

General Psychology Application

 General Psychology Application Essay Over the course of the class, we have discussed a number of different psychological concepts and theories. For your paper you will be asked to connect a real life experience or observation with a concept or theory from lecture and/or your textbook. Your assignment should include

Issues and Trends in Curriculum Development

 Learning Materials: • Iwasiw, C., Goldenberg, D., & Andrusyszyn, M. (2009). Curriculum development in nursing education (2nd ed.). Boston: Jones & Bartlett. (Chapters 13 and 14) • Keating, S. B. (2011). Curriculum development and evaluation in nursing (2nd ed.). New York: Springer. (Chapters 16 and 17) PowerPoint • Chapter 13

Foundation of Nursing Module 2.1 ( Discussion)

Module 2.1 – Discussion Nursing Theories and Theorists Instructions: After reading the assigned chapters, please post two discussion questions based on the readings along with your answers to the following questions: Did any of the theories or theorist influence your own personal theory of nursing; and consequently, your own view