Case Studies on Cardiac Function
This is the first case study that is required for the class. Please submit a paper (doesn’t have to be long; you could even give me bullet-point answers to the questions listed below) that answers all of the questions posed after Case Study 1. I have included an easy second case study which, if you complete it, will be worth extra credit. Answers to the first Case Study are worth 25 points and responding to Case Study 1 is required work for the course. The extra credit, which is not required, will be worth a total of 10 points. Please check the syllabus for the due date.
Case 1
A.O. is an 89-year-old woman with a long history of systolic heart failure secondary to a large left ventricular
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Tropopins elevated between 4-6 hours after the onset of an acute MI and remains elevated for 8 to 12 days. Myoglobin levels rise within 1-4 hours after the onset of chest pain. Creatine kinase -MB increase within 3 to 12 hours of onset chest pain, reach peak within 24 hours and return to baseline after 48 to 72 hours. 3. What is the most common pathophysiologic precipitating event for ACS? What differentiates USA from MI?
Unstable angina. Unstable angina is a warning sign that a heart attack may happen soon and MI is a heart attack. 4. What is the rationale for using thrombolytics in the management of STEMI?
To try an break up the clot before it can cause a massive heart attack possibly leading to death. 5. Why are morphine and nitroglycerin used to manage ischemic chest pain?
Morphine reduces anxiety and catecholamine secretion and is a preload reducer. Nitroglycerine causes relaxation of vascular smooth muscle, which decreases preload and reduces
Roma and Clint Underhill had both had a long day. They were the owners of a successful real estate
Chest pain was presented in 49.5% of patients with STEMI6. The pain may radiate to arms, neck, stomach or jaw7. There may also be sweating, light-headedness, nausea or shortness of breath8.
Case Name The Smithson’s Mortgage Case Study Teams This case is designed to be conducted by a team of students. The discussion, questioning, and resolution of differences is an important part of the learning experience. Another significant advantage is the sharing of the workload in preparing the final case study report. Knowledge Background This case draws heavily on the material presented in Chapters 2 and 3 of Principles of Engineering Economic Analysis, 4th Edition by White, Case, Pratt, and Agee, particularly Section 3.4 (Principal Amount and Interest Amount in Loan Payments). To a limited extent it draws on concepts from Chapter 4 (Measuring the Worth of Investments), Chapter 5 (Comparison
Most patients present with complaint of acute substernal chest pain but some may present with dyspnea or syncope. Some patients develop sign and symptoms of
Walter had already taken aspirin to prevent further clotting of his arteries, and the oxygen being administered to him would help reduce additional heart damage along with providing oxygen for the brain in case it did not have enough
Angina pectoris is a condition that is seen very often in the healthcare setting. According to Hemingway, McCallum, Shipley, Manderbacka, and Martikainen, Keskimäki (2006) commonly, the age of those affected by this condition
Life-threatening conditions can stem from various systemic pathologies. (i.e. Cardiac, Gastrointestinal GI, Vascular, Urologic, Gynecologic, Infectious, etc.)
Janet is at present in good health, although she has had to endure four surgeries: 1) quadruple bypass; 9yrs ago. 2) Operations (2014) on fractured fibula. 3) Esophageal (2012) and 5) Cesarean section in 1975, she is optimistic about her health but she lives one day at a time. She has monthly check ups with her general physician, who seems to believe that Janet is in good condition. She is currently managing her health without any medications, other than aspirin.
Mr. R is a 69-year-old male admitted to the cardiac intensive care unit with angina pectoris. He has a history of coronary artery disease, hyperlipidemia, and hypertension. The patient is planned to have a coronary artery bypass graft (CABG) this afternoon to repair his ventricular function. My preceptor and I spent the morning preparing Mr. R for his approaching surgery.
Myocardial infarction occurs when one of the coronary arteries become blocked, and can no longer carry oxygenated blood to the heart muscle. If the heart muscle does not receive oxygenated blood, the heart tissue begins to die. 42% of all deaths from cardiovascular disease is caused by myocardial infarction. Sometimes there is no symptoms, but most people may experience chest pain, shortness of breath, dizziness, or nausea. The pain could be mild or severe, and persistent or intermittent.
* “The management system that was in place was one woman who magically kept everything in her head. There was limited and almost incomprehensible formal system.” Sarah Arthur, the company’s accountant, had complete autonomy over the company’s information, and she kept this information private.
The most common causes of MI are slow buildup of atherosclerotic plague of coronary artery rupture of the plague, subsequent thrombosis and occlusion of blood flow. When the plague crack or tear itself, blood platelets stick to this and form blood clots which can result in complete blockage of the blood flow. Other factors such as coronary artery spasm, platelet aggregation and emboli from mural thrombi (thrombi lining the walls of the cardiac chambers) can also lead to MI (Riedl, 2016).
Unstable angina is a result of reversible myocardial ischemia causing irreversible damage condition in which oxygen and blood flow to the heart is reduced or blocked (Overbaugh, 2009). PJ’s symptoms came as a surprise and shows of chest pain that radiate to the jaw and the left arm and pain is not relieved. He is diaphoretic and pale. This is an indicative of unstable angina (Overbaugh, 2009).
This case study discusses how McDonald’s India managed to buck the trend in a struggling economy, its early years and business strategy to get more out of its stores in India. The case also briefly discusses how McDonald’s adapted to local culture in India, its localization and entry strategy, its strong supply chain and pricing strategy.
The pivotal nuclear deal framework agreement in 2015 between the Islamic Republic of Iran and the member states of the P5+1, represents a cohesive course of action set forth by the former Obama administration and the International community. Its initial goal accounts for a means of peaceful deterrence of the development of the Iranian nuclear program; It also stands as a means of substantially rendering any possibility of the development of nuclear-weapons advancement by the regime while concurrently allowing for the lifting of sanctions which before the agreement had yielded devastating effects upon the Iranian people. Today in 2017 I assert that the deal has been successful. Unfortunately, the components of the accord have come under