Pathophysiology & Circulatory Disturbances and Coagulation Disorders

Pathophysiology & Circulatory Disturbances and Coagulation Disorders ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Pathophysiology & Circulatory Disturbances and Coagulation Disorders Pathophysiology & Circulatory Disturbances and Coagulation Disorders Use the following partial case study to answer questions 1-3. Driving Can Be Dangerous to Your Health Phil Stephens, Department of Biology, Villanova University “Are you okay, Barb?” John knew that his wife was awake, but he did not wait for an answer. He opened the bedroom door and turned the light on in the bathroom. He set up the nebulizer, carried it into the bedroom, and gave the mask to his wife as he plugged it into the outlet. Her breathing became more regular, but it was fast; she was wheezing and seemed anxious. Even in the dim light, Barb looked pale. “I have this pain in my chest and neck, John, and it’s making its way down my left arm.” He reached for her hand and it felt cold and sticky. He placed his finger on the inside of her wrist and felt her pulse racing. “I think we need to go to the hospital, Barb.” John pulled up in front of the hospital and opened the back door of his car. He helped Barb inside. The nurse put a clip on Barbara’s finger and turned on the heart monitor. The nurse stepped back when the doctor entered the cubicle and she began to examine Barbara. John told her about the asthma attack that afternoon, and the second unusual attack that had happened in the last hour. “Did your wife complain of chest pain?” “Yes, she said that it was in her chest, neck and left arm. I thought that she was having a heart attack.” “That is possible,” continued the doctor. “Are your wife’s legs usually swollen?” John explained that his wife’s legs often swelled when they took road trips because they were in the habit of driving long distances without stopping. The doctor frowned at John. “Did you notice that the swelling is worse in her right leg?” “No doctor,” replied John. “But her right hip was replaced about six months ago.” “Your wife had major surgery, and you drove how far?” “That was my fault,” said Barbara. “My granddaughter was born around the time I had my hip surgery, and I wanted so desperately to see her.” “If my initial prognosis is correct,” the doctor continued, “you may be staying here for a few days.” She reached down and turned on the flow of oxygen through the nasal cannula, and made notes on a chart. “An orderly will take you to your room. I’ll schedule you for some tests.” The bed was pushed out of the cubicle and John went to follow. The doctor turned to John and continued, “Perhaps you should go to Admissions while we get your wife settled in. I am afraid there’s a mountain of paperwork waiting for you.” What two parameters are responsible for creating the movement of fluid across the capillary wall? QUESTION 2 Why does a lack of movement create swelling in Barbara’s legs? QUESTION 3 Why is swelling restricted to her legs? Why didn’t her arms swell? Pathophysiology & Circulatory Disturbances and Coagulation Disorders A 75-year-old man who underwent a left nephrectomy (kidney removal) for renal cell carcinoma 6 months ago is admitted to the emergency room with severe dyspnea (shortness of breath) and cyanosis. His blood pressure is 100/60 (normal = 120/80); his heart rate is 120 beats per minute (normal = 60-100 beats per minute) and his arterial blood oxygen level is 75% (normal 95-100%). A chest X-ray shows clear lungs; however, an echocardiogram reveals an enlarged right ventricle. Although more tests must be ordered to confirm your diagnosis, you have an idea what is causing this man’s symptoms. Based on our class discussions, what condition do you suspect this person is suffering from? Question 8 Use the following partial case study to answer questions 8 and 9. What Killed Leah Miller? By Sheri L. Boyce, Department of Biological Sciences, Messiah College, Grantham, PA Dr. Holmes was called to the home of 4-month old Leah Miller. Her bruises were large and ugly, and Leah was covered with them. The worst of the 15 bruises were on her head and chest. The parents told Dr. Holmes that she had been fussy and vomiting for three days. That morning, the mother found her unconscious in her crib. After interviewing the parents, Dr. Holmes developed a theory that Leah’s injuries were caused by a blood coagulation issue. How could Leah’s injuries have resulted from not receiving an injection of vitamin K. Pathophysiology & Circulatory Disturbances and Coagulation Disorders Dr. Holmes also questions whether Leah has enough factor VIII. What is factor VIII? Why would having a decreased/absent amount of factor VIII be problematic? Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10