Exam (elaborations) NR 507 PATHOPHYSIOLOGY WEEK 3 TD3 Vascular, Cellular and Hematologic Disorders Discussion Part Three

Discussion Part Three Disorders - 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 Three (graded) A new patient is brought into the office for their annual evaluation. The child is a 6-year-old and appears a bit small for their age but not so small that any alarm bells are set off. The vitals are: P = 116, R = 22, T = 98.6 , BP = 110/50. (The normal vitals in a 6-year-old are P = 75 – 120, R = 16 – 22, T = 98.6 , BP = (85-115)/(48-64). Examination of the lungs is normal, HEENT is normal, as is the abdominal exam. The heart however, seems laterally displaced and there appears to be only a continuous murmur which can be described as crescendo/decrescendo systolic murmur that extends into diastole. Because, you were trained at Chamberlain College of Nursing you immediately know that this is probably a patent ductus arteriosus. Explain the murmur from a mechanistic view of the hearts physiological functioning? What is the epidemiology of a patent ductus arteriosus? How is a patent ductus arteriosus treated? F Responses Lorna Durfee 5/18/2016 9:36:07 AM Discussion Part Three oAl dn eawn dp aatpiepneta riss bar boiutg shmt ainllt ofo trh teh oefifri caeg efo bru tth neiort asnon sumaal lel vtahlauta atinoyn a. lTahrem c bheilldls ias rae 6s-eyt eoafrf.- oTlhde avrieta Pls =a r7e5: P– 1=2 101, 6R, =R 1=6 2 –2 ,2 T2, =T 9=8 .968 .6, B, PB P= = 1 1(805/5-01.1 (5T)/h(e4 8n-o6r4m).a lE vxitaamlsi nina taio 6n- yoef athr-e llautnegrsa lilsy n doirsmplaalc, eHdE, aEnNdT t hise rneo armppael,a arss tios tbhee o anbldy oam cionnatli neuxaomus. mThuer mheuar rwt,h hiochw ecvaenr ,b see ems ydoesuc wriebreed t aras icnreeds caet nCdhoa/dmebcererlsacienn Cdoo lslyesgteo loicf Nmuurrsminugr, tyhoaut eimxtmeneddsia itnetloy dkinaoswto lteh.a Bt tehciasu isse probably a patent ductus arteriosus. Doctor Brown and Class: Explain the murmur from a mechanistic view of the heart's physiological functioning? pPuhlimliposn (a2ry0 1a5rt)e dryes acnridb easo rdtau.c tWus haernte trhioes fuest u(Ds iAs )d aesv eal ovpaisncgu ltahre c DonAn edcivtieornts b beltowoede nfr tohme mthaei n tphuel mDoAn aisry s uaprtpeoryse idn ttoo tuhned aeorgrtoa .c oTnhsitsr idcitvioenrs aionnd boybpliatessraetsi othne. lAun pgast.e nWt dhuenct tuhse a brtaebryio issu bs orn, results when the ductus fails to close completely after delivery (Philips, 2016). fTahllee nm aunrmd urerv ienr spaalt eonf ts dhuucnttuins ga rotfe rbiolosouds iosc ac urress.u lTt hoef pbulolmodo snhauryn tvsa lsecfut ltaor rriegshits tfarnocme athoartt ah taos tthhee pLuAlm anodn aLryV a arntedr yp.l a Tcehsi sa cno inndcirteioasne idn cwroearkselosa pdu olmn othnea rlye fbt lsoiodde oflfo twhe, ahneda rvt.e n Iot ucso ureldtu arnls oto ioncccruera sine rreigshpto vnesen ttroic tuhlea ri npcrreesassuerde filfo twhe oref abrleo opdu lamndo ncaarny lcehaadn tgoe isn tchraeta saered vpauslcmuolanra trhya. tI f tphualtm iso nhaerayr dr easti sthtaen lceef th uaps pfearll setne,r ninafla bnotsr dweirl lt hhraovueg ah csoynsttoinleu oaunsd- mdiaacshtoinleer(yM tcyCpea nmceu,r mur Huether, Brashers, and Rote, 2014, p. 1203). pWatheantt idsu tchtue se apritdeerimosioulso igsy r eosfp ao npsaibtelen tf odru 5c ttuos 1 a0r%te roifo hseuasr?t aBbanfofram (2al0i1ti4e)s .r e Tvheea lrsa tthioa to f Imt aisle p troe sfeenmt ainle aibs o1u:3t .4 5P%at eonf tp druemctuatsu irse sienefnan ctos mwmitho nal yw weiigthh tt hlees sb itrhtahn o 1f 7p5r0em ga, taunrde iitn rfiasnetss