Case Study 1

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S.R is a 69-year old man who presents to the clinic because his “wife complains that his snoring is difficult to live with.” 1. As the clinic nurse, what routine information would you want to obtain from S.R.? * How long has this issue been occurring? * Do you take any medications? * How do you sleep at night? * Describe your normal daily routine and sleeping routine? (Time you go to sleep; how long you sleep average every night) * What is your diet consisting of? * Do you have any breathing difficulty throughout the daytime? CASE STUDY PROGRESS After interviewing S.R., you note the following: S.R. is under considerable stress. He owns his own business. The stress of overseeing his employees, meeting…show more content…
This results in the person having repetitive periods of insufficient ventilation and jeopardized gas exchange. This occurs when the inhibitory input to the brain exceeds excitatory output; or in simpler terms the brain fails to signal the muscles to breathe. * Obstructive Sleep Apnea is when the pharyngeal airway collapses or narrows respectively during sleep. It is accompanied by excessive daytime sleepiness and risk for cardiovascular disease. Risk factors for OSA include obesity, large soft palate/tongue, the male sex, and aging. 3. Identify at least five signs or symptoms of obstructive sleep apnea (OSA), and star those symptoms that S.R. is having. * Depression & Irritability* * Loud snoring* * Morning headache* * Difficulty staying asleep* * Difficulty concentrating during the day* * Observed episodes of breathing cessation during sleep* * Having high blood pressure* 4. What tests help the provider diagnose OSA? * Electrocenphalogram- Detects electrical activity in the brain while awake or asleep. The brain cells communicate 24/7 via electrical impulses. * Electromyogram- Measures electrical activity of muscles at rest and during contraction. These studies measure how well and fast the nerves can send electrical signals. * Electro-oculogram- Measures the corneo-retinal standing potential that exists between the front and back of the human eye. * Nasal airflow sensor-

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