Pre Congestive Heart Failure Case Studies

The patient described in this paper will be referred to as Jonathan Toews to ensure patients confidentiality. Jonathan Toews, is a sixty three year old man, born on August 23rd 1956, and lives with his eldest son. He was married two times and has three children, two children from his first marriage and one from his second. He lives in northern Ontario but originally was not born here, he moved here shortly following his second divorce. He is of Italian decent and is a practicing catholic. The patient weights 95kgs, is 178cm tall and has a body mas index (BMI) of 28.3. He said he used to play soccer when he was younger but since does not keep active or get the recommended amount of daily activity. Jonathan says he smokes around one pack or cigarettes a day and has a alcoholic drink roughly three to four drinks per week, he also describes that he eats fast food a few times a week. The patient now has congestive heart failure as a consequence of his MI. He was transferred from another hospital at the beginning of November and currently is waiting for more testing before he can be discharged from the hospital or moved to another facility. The patient has some known comorbidities that can exacerbate his CHF, this includes smoking, obesity, and noncompliance with medications.

The patient tells me his last visit with Peter Dourdoufis, MD was just last week. I do not yet have a note from that visit. He says that he underwent an EKG and a stress test evaluation. To his knowledge, everything was okay, but he actually has an appointment tomorrow with Dr. Dourdoufis to review everything. No medication changes have been made per his report. He tells me that his blood pressures have been in a good range. Here today, his blood pressure is 126/76. He is not having problems with chest pain, shortness of breath, dyspnea on exertion or lower extremity swelling. He is still working

Mr. S is a 29-year-old male with past medical history of (PMH) hypertension (HTN) and obesity who presented to local emergency room (ER) with headache and chest and back pain. Mr. s had been seen at urgent care three days prior for a headache and near syncope and was told to hold his metoprolol due to bradycardia. Due to health insurance related problem, he has been off amlodipine and lisinopril for a month.

“Manual of Clinical Problems in Cardiology : With Annotated Key References” book is written by L. David Hillis in 1980. Hillis has MD degree obtained from Columbia University , New York,

Mr. Bellows is an overweight, 51-year-old with a long history of angina. He is known to your hospital and arrives in an ambulance with more severe symptoms than previous admissions. Mr. Farmer informs the ambulance crew, the Anginine tablets he has taken, have not provided any symptom relief.

ECG: sinus tachycardia with waveform abnormalities consistent with LVH, Pronounced Q waves consistent with pulmonary edema.

Analyzing Mr. Edward blood pressure (140/85) during his last visit to the doctor, plus the constipation and the GERD, and also the level of his cholesterol, it show that he has all the condition to develop myocardial

Congestive Heart Failure is when the heart's pumping power is weaker than normal. It does not mean the heart has stopped working. The blood moves through the heart and body at a slower rate, and pressure in the heart increases. This means; the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body or by becoming more stiff and thickened. This only keeps the blood moving for a short while. The heart muscle walls weaken and are unable to pump as strongly. This makes the kidneys respond by causing the body to retain fluid and sodium. When the body builds up with fluids, it becomes congested. Many conditions can cause heart

Diagnosed with Congestive cardiomyopathy implies that the patient’s heart muscle has been debilitated by ailment and cannot sufficiently pump blood through the heart, which can lead to heart failure (“Columbia University Medical Center”, 2016). In this case study, the current situation of a male patient Mr. P., who is 76 years old, and frequently hospitalized with CHF is given. The purpose of this paper is to describe an approach to care with treatment plan recommendation, provide education to both the patient and his family, and a teaching plan.

The patient is a 67-year-old male patient who presented to the emergency room after a fall. The patient denies any loss of consciousness but complained of a severe right sided chest pain worse with movement and lying down. The patient was in the dialysis. He left early because of the pain. It is also to be noted he is on Coumadin. The patient's medical history he has a past medical history end-stage renal disease, anxiety disorder, chronic hypertension, descending aortic valve replacement (for which he is on the Coumadin), AV fistula in the left arm, and coronary bypass grafting with stenting. On presentation, initial blood pressure was 108/60 with a pulse of 79, respirations of 18 and a temp of 97. The patient's hemoglobin is 9.3 I.

Many times you’ll be told that the patient is in congestive heart failure (CHF) which is a poor diagnoses, in my experience many times, no one person has actually evaluated the patient. And the feeding tube is still running.

Congestive Heart Failure (CHF) is a chronic dysfunction of the heart’s ability to effectively pump blood throughout the body. Left-sided heart failure is the most common and there are two main types: systolic and diastolic. In simple terms, diastolic heart failure occurs when the left ventricle still pumps effectively, but doesn’t move as much blood as it should due to a filling problem. Systolic heart failure, on the other hand, occurs when the left ventricle does not pump as forcefully as it should, and therefore less blood makes it into circulation per contraction. Researchers and physicians alike are moving away from the classifications of systolic and diastolic as problems with one can produce abnormalities with the other. Instead, they are moving to classifying heart failure as having normal or impaired left ventricular ejection fraction. Impaired ejection fraction (<40%) would be

Mr. Martinez a 48-year-old presents with complaints of heart pounding over the last three days. He also complains of SOB and fatigue with exertion. He denies cough, dizziness, light headed, headache, fever, fainting and nausea and vomiting. Patient has hx of tonsillectomy at the age of five. He also has Hx of hypertension and Hyperlipidemia but on prescribed medication. The patient states that he maintains a regular exercise return to manage his symptoms. He denies tobacco or illicit drug use but admits occasion intake of

Congestive heart failure is a chronic disease that requires daily monitoring and life style management. Affecting the elderly, and their family the adjustment is a challenge. Daily life skills include the monitoring of daily weights, intake and output, and a low sodium diet. The person with congestive heart failure is generally admitted to the hospital for medication adjustments when their symptoms increase. The patient is often times short of breath, with a decrease in energy and an increase in their weight. The patients are generally elderly 60-65 years of age or older, and when comparing African Americans to Caucasians the African Americans have a 1.5 greater chance of developing heart failure ("Heart Failure," 2017). The

and a 5-year history of angina pectoris. During the past week he has had more frequent episodes of