Case Study 3 Congestive Heart Failure Essay

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Case Study 3 – Congestive Heart Failure

Patient Case Question 1. Based on the limited amount of information given above, do you suspect that this patient has developed left-sided CHF, right-sided CHF, or total CHF? right-sided CHF

Patient Case Question 2. How did you arrive at your answer to Question 1? right-sided CHF = fluid may back up into your abdomen, legs and feet, causing swelling.

Patient Case Question 3. What is a likely cause for this patient’s heart failure? Increasing age (over 65 she is 69), and smoker ( 3 packs a day)

Patient Case Question 4. From the information given above, identify three risk factors that probably contributed to the patient’s heart attack five years ago. Overweight, smoker, family
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Which abnormal cardiac exam and ECG findings closely complement one another? Chest x-ray: prominent cardiomegaly, perihilar shadows consistent with pulmonary edema ECG: sinus tachycardia with waveform abnormalities consistent with LVH, Pronounced Q waves consistent with pulmonary edema.

Patient Case Question 17. What might the abnormal serum Na+ and K+ levels suggest? Has hypernatremia, decreased GFR and decreased sodium excretion

Patient Case Question 18. Explain the abnormal BUN and serum Cr concentrations. The BUN and serum Cr are very low, caused by decreased glomerular filtration rate

Patient Case Question 19. What might be causing the elevated serum glucose concentration? Serum levels of inflammatory cytokines and leptin are elevated in patients with heart failure.

Patient Case Question 20. Explain the abnormal serum AST level. High levels of AST can be found in cases such as myocardial infarction

Patient Case Question 21. Explain the abnormal arterial blood gas findings. A low partial pressure of oxygen (PaO2) suggests that a person is not getting enough oxygen; Metabolic acidosis->Kidney failure, shock, diabetic ketoacidosis

Patient Case Question 22. Which of the hematologic findings, if any, are abnormal? The albumin serum level is a little low. Low albumin levels are a warning and an indication that further investigation may be warranted. They may reflect a
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