NR 507 Week 2 Discussion: A 72-year-old male presents to the primary latest 2022
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Course
NR 507 Advanced Pathophysiology (NR507)
Institution
Chamberlain College Of Nursing
Case Scenario:
A 72-year-old male presents to the primary care office with shortness of breath, leg swelling, and fatigue. He reports that he stopped engaging in his daily walk with friends three weeks ago because of shortness of breath that became worse with activity. He decided to come to the ...
nr 507 week 2 discussion a 72 year old male presents to the primary
a 72 year old male presents to the primary care office with shortness of breath
and fatigue he reports that he stop
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Chamberlain College Of Nursing
NR 507 Advanced Pathophysiology (NR507)
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NR 507 Week 2 Discussion: A 72-year-
old male presents to the primary
Case Scenario:
A 72-year-old male presents to the primary care office with shortness of breath, leg
swelling, and fatigue. He reports that he stopped engaging in his daily walk with friends
three weeks ago because of shortness of breath that became worse with activity. He
decided to come to the office today because he is now propping up on at least 3 pillows
at night to sleep.
He tells the NP that he sometimes sleeps better in his recliner chair. PMH includes
hypertension, hyperlipidemia and Type 2 diabetes.
Physical Exam:
BP 106/74 mmHg, Heart rate 110 beats per minute (bpm) HEENT: Unremarkable
Lungs: Fine inspiratory crackles bilateral bases
Cardiac: S1 and S2 regular, rate and rhythm; presence of 3rd heart sound; jugular
venous distention. Bilateral pretibial and ankle 2+pitting edema noted
ECG: Sinus rhythm at 110 bpm
Echocardiogram: decreased wall motion of the anterior wall of the heart and an ejection
fraction of 25% Diagnosis: Systolic heart failure, secondary to silent MI
Discussion Questions:
Differentiate between systolic and diastolic heart
State whether the patient is in systolic or diastolic heart
Explain the pathophysiology associated with each of the following symptoms: dyspnea on
exertion, pitting edema, jugular vein distention, and
Explain the significance of the presence of a 3rd heart sound and ejection fraction of 25%.
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