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NR 507 Week 2 Case Study DB- Heart Failure
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- Chamberlain College Of Nursing
Chamberlain NR 507 Week 2 Case Study DB- Heart Failure
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Week 2 DB –Week 2 Case Study – Heart Failure
Read the case study below.
In your initial discussion post, answer the questions related to the case scenario and
support your response with at least one evidence-based reference by Wed., 11:59 pm
MT.
Provides a minimum of two responses weekly on separate days; e.g., replies to a post
from a peer; AND faculty member's question; OR two peers if no faculty question using
appropriate resources, before Sun., 11:59 pm MT.
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; the 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: Heart failure, secondary to silent MI
Discussion Questions
1. Differentiate between systolic and diastolic heart failure. (McCance & Huether, 2019).
Systolic heart failure is left heart failure with a reduced ejection fraction of less than
40%. The ejection fraction is the volume of blood ejected from the ventricles with each
heartbeat. A reduced ejection fraction is an inability of the heart to produce enough
cardiac output to perfuse vital tissues in the body.
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