A 74-yr old male patient is taken to the Emergency department (ED) for acute exacerbation of heart failure. Medical history is listed as atrial fibrillation, hyperlipidemia, and hypertension. Patient is currently taking aspirin, atorvastatin, digoxin, warfarin, and furosemide. Upon arrival to the ED, the nurse notes the following on her examination.Findings are as follows:Pt is aaox3noted dyspnea at rest, with fine crackles to basesVitals: T99.1/P110/R26 (on 2L NC)/BP 92/50Noted peripheral edema to upper and lower extremitiesMucous membranes dry Labs: BUN 30, creatinine 1.9, K3.1, Na135, Mg1.8, Ca10.5,BNP350, PT/INR = 18/1.5Questions:1. What signs and symptoms are of concern in this patient's presentation?2. What could these be telling you is happening to the patient?3. Of the concerning symptoms, which of these is a priority? Please explain your answer.4. What can we do to stabilize this patient? Why?

An elderly man aged 74 years With a history of: Atrial fibrillation High cholesterol…

Answered: A 74-yr old male patient is taken to…

Case Studies In Health Information Management

3rd Edition

ISBN:9781337676908

Author:SCHNERING

Publisher:SCHNERING

Chapter1: Data Content, Structure, And Standards

Section: Chapter Questions

Problem 1.25.1C

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Question

A 74-yr old male patient is taken to the Emergency department (ED) for acute exacerbation of heart failure. Medical history is listed as atrial fibrillation, hyperlipidemia, and hypertension. Patient is currently taking aspirin, atorvastatin, digoxin, warfarin, and furosemide. Upon arrival to the ED, the nurse notes the following on her examination.

Findings are as follows:

Pt is aaox3
noted dyspnea at rest, with fine crackles to bases
Vitals: T99.1/P110/R26 (on 2L NC)/BP 92/50
Noted peripheral edema to upper and lower extremities
Mucous membranes dry
Labs: BUN 30, creatinine 1.9, K3.1, Na135, Mg1.8, Ca10.5,BNP350, PT/INR = 18/1.5

Questions:

1. What signs and symptoms are of concern in this patient's presentation?

2. What could these be telling you is happening to the patient?

3. Of the concerning symptoms, which of these is a priority? Please explain your answer.

4. What can we do to stabilize this patient? Why?

Expert Solution