At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare

· Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.

· Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

Assignment

Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.

Required Readings

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

• Chapter 23, “Structure and Function of the      Cardiovascular and Lymphatic Systems”

This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.

• Chapter 24, “Alterations of Cardiovascular Function”

This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.

• Chapter 25, “Alterations of Cardiovascular Function in      Children”

This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart diseases from acquired cardiovascular disorders.

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.

• Chapter 10, “Cardiovascular Disorders: Heart Disease”

This chapter begins by exploring the normal structure and function of the heart. It then examines the etiology, pathophysiology, and clinical manifestations of five heart disorders: arrhythmias, congestive heart failure, valvular heart disease, coronary artery disease, and pericardial disease.

Jacobsen, R. C., & Gratton, M. C. (2011). A case of unrecognized prehospital anaphylactic shock.Prehospital Emergency Care, 15(1), 61–66.

Retrieved from the Walden Library databases.

 
 

This article provides information relating to the diagnosis and management of anaphylactic shock. It also explores difficulties encountered when diagnosing uncommon clinical presentations of anaphylactic shock.

 

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Cardiovascular Medication Discussion. 

This is for a discussion post. There are TWO parts to this post

There are numerous medications to treat disorders of the cardiovascular system. Below are just four of the medication categories used to treat hypertension.

Diuretics

ACE inhibitors

Calcium Channel Blockers

Vasodilators

1.Discuss the difference between each medication.

2. Choose from one of the four categories listed above. Provide an example patient scenario (can be from your own experience as a nurse) where a patient would be treated with the class of medication you chose from the four listed above. You only need to provide one scenario, but make sure it is using a medication that correlates to one of the four classes above.

For example…

Patient A has _________ diagnosis. His baseline BP is _______. The physician would most likely prescribe this class of medication ___________ and more specifically this drug ________.

Of course, this is just an example to get you started. 

Please elaborate on your patient scenarios and support your statements with evidenced based literature.

Pleas provide at least two references in APA format 

 

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Please write a reflection of how cardiovascular system is relate with peripheral vascular disease atherosclerosis and arteriosclerosis  is a reflection paper please write in your own words at least 3 paragraphs 

 

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Mr. Charles Lamont is a 45-year-old patient who is visiting his primary care physician for his an annual checkup. His wife is waiting for him in the lobby; she is hoping that Mr. Lamont will tell the physician about his recent bout of coughing and shortness of breath. Mr. Lamont works for a construction company as a heavy machine operator. He smokes 1½ packs of cigarettes per day. His wife has been encouraging Mr. Lamont to stop, but he has not showed any interest in quitting. Laura, the registered nurse, takes Mr. Lamont to an examination room. Laura asks him about his overall health and he tells her about a nagging cough and how he sometimes feels short of breath. He then denies any other health problems. Laura takes Mr. Lamont’s vital signs and gets the following results: blood pressure, 156/94 mm Hg; temperature, 99.8° F orally; apical pulse, 104 beats/min; respiration, 25 breaths/min and regular; and pulse oximetry, 95%.

Using the care map template given to you, create a care plan for this patient.

Please, upload just your care map here once completed. Your written care map paper will need to be uploaded as scheduled in Turnitin.

 

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Write a 2-3 page APA formatted paper (not including cover sheet or reference page) utilizing a minimum of three resources based on the case scenario below. You may opt to do a power point presentation or Prezi with a minimum of 10 – 15 slides (not including cover sheet or reference slide) instead of the written paper.

Scenario: A gravida two, para-one 34 year old woman comes into the office for pre-natal care. She is 28 weeks pregnant. Her blood pressure is 160/90 with a weight of 220 lbs and a height of 5’1. Her previous blood pressure at her visit 4 weeks ago was 122/ 78. Her previous weight was 210 lbs. She reports a history of gestational diabetes. Her fasting glucose is 108 with an A1C of 6.0.

What focused assessments would you expect the practical nurse to perform? What important data would need to be communicated to her health care team?

                                                            Rubric

  

Scenario: A gravida two, para-one 34 year old woman comes into the office for pre-natal care. She is 28 weeks pregnant. Her blood pressure is 160/90 with a weight of 220 lbs and a height of 5’1. Her previous blood pressure at her visit 4 weeks ago was 122/ 78. Her previous weight was 210 lbs. She reports a history of gestational diabetes. Her fasting glucose is 150. 

What focused assessments would you expect the practical nurse to perform? What important data would need to be communicated to her health care team?

                                      Scoring Rubric

  

Care of a patient with prenatal complications

 

Spelling and grammar is correct throughout   the presentation. APA format is consistently done and correct. All   information is referenced throughout the body of the presentation. Uses a   minimum of 3 credible references.

1

 

Discusses the significance of the blood   pressure. Outline what other assessments will be made by the nurse. 

What will be reported based on this finding?   

What condition are you assessing for? How   urgent is the reporting of this problem? 

2

 

Discusses the significance of the blood glucose   finding. Outline what other assessments will be made based on this finding.

What will be reported based on this finding?

What   condition are you assessing for?

How urgent is the reporting of this problem?   

2

 

Briefly discuss the common findings of   preeclampsia and nursing care and   management of this disorder. 

2

 

Briefly discuss the common findings of   gestational diabetes mellitus (GDM), and nursing care and management of this disorder.

2

 

Includes SBAR report for this patient.

1

 

 

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