Health Medical
Alterations of Cardiovascular Function Case Study Questions

Question Description

I’m studying and need help with a Nursing question to help me learn.

Alterations of Cardiovascular Function

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. Cite four risk factors that predisposed this patient to acute myocardial infarction.
2. Cite four clinical signs that suggest that acute myocardial infarction has occurred in the left ventricle and not in the right ventricle.
3. Which single laboratory test provides the clearest evidence that the patient has suffered acute myocardial infarction?
4. What is the pathophysiologic mechanism for elevated temperature that occurred several days after the onset of acute myocardial infarction?


Case Study 2: Alterations of the Pulmonary Function

D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 200 to 240 L/minute (baseline, 340 L/minute) and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer sufficient treatment for this asthmatic episode.

Case Study Questions

1. Based on the available clinical evidence, is this patient’s asthmatic attack considered mild, moderate, or bordering on respiratory failure?
2. What is the most likely trigger of this patient’s asthma attack?
3. Identify three major factors that have likely contributed to the development of asthma in this patient.


Submission Instructions:

  • You must complete both case studies
  • Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
  • Grading Rubric

Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool's honor code & terms of service.

Final Answer

Attached.

Outline for case study
Alterations of Cardiovascular functions Case study
In this section, the case questions about acute myocardial infarction have been answered
precisely.
Case study 2: Alterations of the Pulmonary Function
In this section, the questions about asthma have been discussed as required.


Running head: MEDICAL CASE STUDIES

1

Medical Case Studies
Details
Name
Institutional Affiliation
Date

MEDICAL CASE STUDIES

2

Alterations of Cardiovascular functions Case study
1. Risk factors that predisposed to acute myocardial infarction
The risk factors that could have led to the development of acute myocardial infarction
include a plethora of factors consisting of old age as the key factor. Mr. W.G is 53 years old and,
therefore, more predisposed to developing acute myocardial infarction due to a compromise in
the heart functioning (Reed, Rossi & Cannon, 2017). Secondly, dietary factors such as
consuming foods rich in fat and causing atherosclerosis; hence myocardial infarction is possible.
Thirdly, genetic factors could have as well resulted in the condition, especially if the family and
the lineage had the condition (Reed, Rossi & Cannon, 2017). The fourth risk factor is the lack of
physical exercise and inactivity. Myocardial infarction is possible with reduced physical activity
and a lack of compliance with the guidelines of physical exercises.
2. Clinical signs that show myocardial infarction occurred in the left ventricle
The following signs are a manifestation of infarction on the left ventricle:


Aspirin treatment results in the relief of symptoms as associated with left-ventricular
infarction (Anderson & Morrow, 2017).



The acute chest in the left part of the chest is a clinical indicator of left-ventricular
infarction.



The pain ascended to the sternum and towards the neck, indicating that the left-ventricle
was affected (Anderson & Morrow, 2017).



The pain was relieved by deep breathing, indicating that the left ventricle was affected by
the infarction.

3. Laboratory test for confirming clarity of suffering from acute myocardial infarction

MEDICAL CASE STUDIES

3

An Electrocardiogram test (ECG) is essential for confirmation of the acute myocardial
infarction (Reed, Rossi & Cannon, 2017). The test, with the help of an electrocardiograph,
produces effective feedback that can be used in the precise diagnosis of the condition and
provision of desired results regarding the main issue as recommended.
4. The pathophysiologic mechanism for elevated temperature prior to the onset of
AMI
The elevated temperature was due to the pathologic processes resulting in tissue damage
(Anderson & Morrow, 2017). Since the myocardium was adjusting to the stressors and the
contributing factors resulting in the formation of the infarct, the process culminated in elevated
temperatures. The body was fighting the pathogens and loss of tissue; hence the metabolic rate
increased, causing temperature rise.
Case study 2: Alterations of the Pulmonary Function
1. Categorization of the asthmatic attack
D.R. has an asthmatic attack that is nearing respiratory failure based on the level of severity
that the same has. The symptoms of the disease are worse and indicative of an adverse status
since the medications can no longer relive the symptoms (Mirzakhani et al., 2018). The nebulizer
therapy is supposed to provide relief of the symptoms, but the same is not giving the required
therapeutic effect. The clinical manifestations such as cough, stuffy nose, wheezing, watery eyes,
and postnasal drainage is a challenge. Since the asthmatic episode shows significant symptoms
that seem to be life-threatening for the client, the level is bordering respiratory failure.
Additionally, the peak flow rates of 200-240 are way below the baseline of 340, making the
client be at jeopardy of respiratory failure (Mirzakhani et al., 2018).
2. The most likely trigger of the asthmatic attack

MEDICAL CASE STUDIES

4

Exposure to allergens is a likely trigger of the condition and an indicator of the symptoms
that exacerbate. The allergens could have been strong and resulted in the reduced health outcome
hence causing adversity of the conditions identified (Mirzakhani et al., 2018). The second most
likely trigger of the condition is the use of relieving medications without focusing on treatments.
Poor medication techniques are a likely challenge hence making the situations progress to
bordering respiratory failure.
Three factors that have likely contributed to the development of asthma in the patient
1. Smoking: Since the patient is a young man aged 27 years, there is a possibility that
smoking occurs. Smoking poses a threat to the airways and result in inflammation and
asthma (Farne et al., 2017).
2. Other respiratory conditions such as eczema and hay fever may have led to the
inflammation and constriction of the airways. Asthma may result from advanced
respiratory illnesses that cause harm to the mucous membranes.
3. Exposure to strong allergies could have contributed to the development of asthma.
Injuries to the airways result in the increment of asthma development hence resulting in
the observed conditions (Mirzakhani et al., 2018).

MEDICAL CASE STUDIES

5
References

Anderson, J. L., & Morrow, D. A. (2017). Acute myocardial infarction. New England Journal of
Medicine, 376(21), 2053-2064.
Farne, H. A., Wilson, A., Powell, C., Bax, L., & Milan, S. J. (2017). Anti‐IL5 therapies for
asthma. Cochrane Database of Systematic Reviews, (9).
Mirzakhani, H., Carey, V., Zeiger, R., Bacharier, L., O Connor, G., Laranjo, N., ... & Litonjua,
A. (2018). Effect of Maternal Asthma and Asthma Control on Risk of Asthma and
Recurrent Wheeze in Offspring by Age 3 Years. In C26. PEDIATRIC ASTHMA:
EPIDEMIOLOGY AND EPIGENETICS (pp. A4593-A4593). American Thoracic Society.
Reed, G. W., Rossi, J. E., & Cannon, C. P. (2017). Acute myocardial infarction. The
Lancet, 389(10065), 197-210.

Attached.

Running head: MEDICAL CASE STUDIES

1

Medical Case Studies
Details
Name
Institutional Affiliation
Date

MEDICAL CASE STUDIES

2

Alterations of Cardiovascular functions Case study
1. Risk factors that predisposed to acute myocardial infarction
The risk factors that could have led to the development of acute myocardial infarction
include a plethora of factors consisting of old age as the key factor. Mr. W.G is 53 years old and,
therefore, more predisposed to developing acute myocardial infarction due to a compromise in
the heart functioning (Reed, Rossi & Cannon, 2017).
Secondly, dietary factors such as consuming foods rich in fat and causing atherosclerosis;
hence myocardial infarction is possible (Anderson & Morrow, 2017). High fatty foods are risk
factors for the health of the veins since atherosclerosis results in stiffening, death of heart
muscles and the result is an acute myocardial infarction.
Thirdly, genetic factors could have as well resulted in the condition, especially if the family
and the lineage...

JohnNyamboche (8693)
New York University

Anonymous
Top quality work from this tutor! I’ll be back!

Anonymous
It’s my second time using SP and the work has been great back to back :) The one and only resource on the Interwebs for the work that needs to be done!

Anonymous
Thanks, good work

Studypool
4.7
Trustpilot
4.5
Sitejabber
4.4
Similar Questions
Related Tags