Transcribed Image Text from this Question
Case Study: A 70-year-old J.M. man who has been coming to the clinic for several years for management of coronary artery disease (CAD), hypertension (HTN), and hyperlipemia (HLD). A cardiac catheterization done a year ago showed 50% stenosis to one of his coronary arteries. For the past 6 months, he has had episodes of dizziness, orthostatic hypotension, and decreased exercise tolerance. On his last clinic visit 3 weeks ago, a chest x-ray (CXR) showed cardiomegaly. Results of chemistries (blood studies) drawn at this time were as follows: Na 136 mmol/L, K 4.2 mmol/L, BUN 15 mg/dl, creatinine 1.6 mg/dl, glucose 93 mg/dl. Complete Blood Count (CBC): WBC 4.4, Hgb 9.5 g/dl, Hct 29.4%, and platelets 229 This morning his son brought him to the clinic because he has had increased fatigue, significant swelling of his ankles, and shortness of breath (SOB) for the past 2 days. His vital signs (VS) are Blood pressure (BP) of 142/83, Heart rate (HR) of 105, Respiratory rate (RR) of 24, and Temperature of 97.9° F. After reading this case study, be ready to answer follow up questions in the quiz section titled: Heart Failure Case Study Follow-up Questions, Use your own words to describe the correlation between HTN and HF in Mr. J.M. case study. Other than a history of hypertension, give one pathology why Mr. J.M.’s BP is 142/83 (elevated). Explain why Mr.J.M. is experiencing increased fatigue, ankle swelling, and shortness of breath (with a respiratory rate of 24). The Health Care Provider concluded that Mr. J.M. is experiencing symptoms of Heart Failure (HF). What classes of drugs might the Health Care Provider prescribe? And how might they work to help J.M’s condition. (Hint: There are up to 4 drug classes for consideration).
(Visited 3 times, 1 visits today)
