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Nurs 220 Cardiovascular Case Study JM, . 50 year old male returns to the clinio for a follow up visit . On his Inut visit BP was 136/90, HR 86, RR 18-weighs 220 lbs- at that time he was advised to limit salt intake and consume low fat dict-New visit – VS are as follows: BP 150/92, HR 88, RR 20 and weight 235 1). What is the most appropriate medication to be used for JM. which parameters need to be addressed? What is the disease state being presented here’l (4 points) 2). Please address all pertinent patient eduontion topics before patient leaves clinic (2 Point 2 weeks later JM calls the clinic complaining of a dry cough-what do you suspect? Are any interventions required at this time? If so, what are they? (4 Points) JM is doing well on his new regimen until he starts a new job in sales- his new boss is very demanding and pushes all his team members to excel in sales. JM tries very hard to exceed all numbers in sales, ignoring his own health, engaging in poor eating habits his weight steadily increases, he has low energy, dyspnea and pedal edema – goes back to clinic, his HCP performs a physical exam and notes him to be in CHF 3). How did JM develop CHF? (3 Points) 4). Please comment on appropriate pharmacologic interventions at this time- provide rationale for your choices (2 Points) 5). Which lab values need to be monitored? (2 Points) 6). Can multiple agents be used to treat one dingnosis, when might this happen? Answer should pertain to this case study. (2 Points) 7). What is a cardiac glycoside? When are these agents used? What are some concerns when using these agents? (4 Points) 8). What causes atrial fibrillation? What are the most common complications of atrial fibrillation? How are they treated? How is atrial fibrillation treated? (6 Points) JM has a strong family history for cardiac disease, his father passed away at age 60 from an MI and his 2 older brothers have had MI’s and stent placement. Does JM need any additional medication based on his own history and his family history? (2 points) Please devise a medication regimen for JM and provide a rationale for cach medication recommended- additionally, please note all the non pharmacologia interventions as well (4 points) This case study replaces the exam on CV, therefore will be worth 14% of your final grade. Assignment will be completed in APA format, and will be due on April 11, 2021 at 11:59 PM, it will be submitted through Blackboard in appropriate assignment box Thank you Dr. Neilan
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