Exam (elaborations) NR 507 PATHOPHYSIOLOGY WEEK 3 TD2 Vascular, Cellular and Hematologic Disorders Discussion Part Two.pdf

Week 3: Cardiovascular, Cellular, and Hematologic Disorders - Discussion Part Two Loading... This week's graded topics relate to the following Course Outcomes (COs). 1 Analyze pathophysiologic mechanisms associated with selected disease states. (PO 1) 2 Differentiate the epidemiology, etiology, developmental considerations, pathogenesis, and clinical and laboratory manifestations of specific disease processes. (PO 1) 3 Examine the way in which homeostatic, adaptive, and compensatory physiological mechanisms can be supported and/or altered through specific therapeutic interventions. (PO 1, 7) 4 Distinguish risk factors associated with selected disease states. (PO 1) 5 Describe outcomes of disruptive or alterations in specific physiologic processes. (PO 1) 6 Distinguish risk factors associated with selected disease states. (PO 1) 7 Explore age-specific and developmental alterations in physiologic and disease states. (PO 1, 4) Discussion Discussion Part Two (graded) 0 Responses Lorna Durfee 5/16/2016 9:26:22 PM Discussion Part 2 Discussion Part Two (graded) aJnedss oec icsa as i5o7n-ayle eapri-goaldst mrica lpea winh.o Hpree ssteanttess wthitaht gart andiguhatl hoen sheats o tfr doyusbplen ebar eoant heixnegr teiospne acniadl lfya twighuilee. lHyien agl soon choism bpalacikn. sT ohfi sfr iesq rueelnietv deyds pbeyp hsiima wsiittthin nga uups.e a His vitals are 180/110, P = 88, T = 98.0 C, R = 20. nSauubsjeeac tainvde :o c5c7a-syieoanra-lo eldp imgaaslter iwc hpoa s with gradual onset of dyspnea on exertion and fatigue. He also complains of frequent dyspepsia with The patient states that he has trouble breathing at night especially while lying on his back. This condition is relieved when he sits up. Objective: His vitals are 180/110, P = 88, T = 98.0 C, R = 20. Write a differential in this case and explain how each item in your differential fits and how it might not fit. Doctor Brown and Class: TWhhise np astlieeenpti,n agc,c tohred ipnagti teon tG hoausl din acnreda Dseyde br l(o2o0d1 1v)o lius mexeh iinb itthine gl usniggns sl eoafd pinargo txoy fslmuiadl inno tchtue ranlavle doylis.p nTehae afnludi dth we ipllr einsetenrcfee roef wacituht ed ipfufulmsioonna orfy oexdyegmean. a nd therefore lung expansion (Gould & Dyer, 2011, p. 300). This condition leads to pulmonary edema and can be caused by left-sided heart failure. 0 0 DIFFERENTIAL: CONGESTIVE HEART FAILURE: Gould and Dyer (2011) state that congestive heart failure (CHF) occurs when the heart can no longer pump the necessary blood demands of the body metabolically. Congestive heart failure can happen as a result of infarction or valve defect. It can arise fro mto imncereeta asleld t hdee mands hplyapceerdte onns itohne ahfefaerctt,s s tuhceh l eafst hvyepnetrritcelnes ifoirns to. r Pduislmeaosnea orfy tvhael vluen sgt.e n Oosnies sciadne aofff ethcte thheea rritg fhati lvse fnirtsritc tlhee. n I tt hies iomthpeorr. t aInntf atorc dtieocni pohfe trh we hleifcth v seindter iictl ies .o rI t is left- sciodneddi toior nrisg lheta-dsi tdoe dth Ce HseFc r(eGtioounl do f& in Dcryeears, e2d0 r1e1n,i pn. a2n9d7 a).l d Toshteerreo nise .a rTehdeu creesdu fllto iws v oafs obclooonds tirnictoti othne a snyds taenm iincc creiracsuelda taifotne,r laonadd tahnedn itnhcer ekaidsende ybsl.o oTdh ese pveorliupmheer oarl rperseilsotaadn cwe.h Tichhe ared diss am doercer ewaosrek i nfo trh teh eef hfiecaiertn (cGy ooufl dth &e h Deayretr. , T20h1e1 h, epa.r t2 9ch8a).n gTeh dei lsaytmesp, aatnhde ttihce n cearvrdoiuasc smysutsecmle tthheenn ihnycpreearstreosp hheieasrt. r Tathee a wnda ll roefp tlhaec ehde awrti tvhe fnitbrrioclues btiescsoume e(Gs tohuilcdk .& T Dhyise rc,o 2n0d1it1io, np .l e2a9d9s) .t o increased demand for blood supply to the myometrium. The myocardial cells die and are This item may fit: Dweylslp anse tah eo nd ieaxpehrrtaigomn a -ndW vaaghalsl (r2ec0e1p2t)o rresl, arteegsu tlhaatet cbhreemathoirnegce. p Ttohres cino rtthicea bl raanind acnerde vbaraslc uplaatrh wsyasytesm al,l oasw w aeplpl raasi smale ochf athneo rsetcaetupst oorfs tihne t lhuen cghse. s Wt whaelnl aas ipsacthieenmt ihaa asn ddy csopnngeae sitti vcae nf abielu rrees apsir wateolrly a, sn CeuOroPgDe,n liucn ogr dciasredaisaec ainn do rpingeinu m(Wonaihal sa,n 2d0 d1i2s,o prd. e1r7s3 t)h. a tS ahroer tpnseyscsh oofg berneiact.h Hcaen s tbaete rse ltahtaetd c taor dmiayco acnadrd ial opfu lbmreoantahr oyn e teixoelortgioyn d (oWmainhalste, s2 i0n1 2m, ops.t 1o7f4 t)h.e cases (Wahls, 2012, p.173). The description of the exacerbation of heart failure is a sensation of shortness This item may not fit: dByescpanuesae itsh ea cpuatteie wnth ceonu iltd d hevaveleo apnso otvheerr hcoonudrsi ttioo nd athyast amnday c hbreo cnaicu siifn mg othree tdhyasnp nfoeuar o tno beoigthh te wxeeretkiosn. a Tnhde a ct anuigseh to. f dSycshpwnaerat zcsotueilnd (b2e0 a1 5n)e wco pnrfoirbmlesm th oart a worsening underlying disease (e.g., asthma, COPD, or heart failure) (Schwartzstein, 2016). This may fit: pFuamtigpu eeno–u gThh eb lAomode rtoic amne Hete tahret Adesmsoacnidatsi oonf t(h2e0 1b5o)d yre. l aTtehse tbiroeddyn ethsse na nsden fdasti gthuee balroeo pda frrto omf tlhees ss ivgintasl aonrdg asnysm, tphteo mmsu oscf lhees airnt tfhaeil ulirme.b sT, haen dh esaerntd csa intn toot the heart and brain. The result is fatigue (The American Heart Association, 2015).