Cardiovascular Disorders Case Study 1 Heart Failure Difficulty: Beginning Setting: Emergency department, hospital Index Words: heart failure (HF), cardiomyopathy, volume overload, quality of life
X Scenario
M.G., a “frequent flier,” is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come to the hospital today because I can't catch my breath and my legs are as big as tree trunks.” After further questioning, you learn she is strictly following the fluid and salt restriction ordered during her last hospital admission. She reports gaining 1 to 2 pounds every day CASE STUDY PROGRESS The next day, M.G. has shown only slight improvement, and digoxin (Lanoxin) 125 mcg PO daily is added to her orders.
8. What is the action of the digoxin? Digoxin: a. causes systemic vasodilation. b. promotes the excretion of sodium and water in the renal tubules. c. increases cardiac contractility and cardiac output. d. blocks sympathetic nervous system stimulation to the heart. Answer: C Digoxin works by increasing cardiac contractility, and thus increasing cardiac output.
9. Which findings from M.G.'s assessment would indicate an increased possibility of digoxin toxicity? Explain your answer. a. Serum potassium level of 2.2 mEq/L b. Serum sodium level of 139 mEq/L c. Apical heart rate of 64 beats/minute d. Digoxin level 1.6 ng/mL Answer: A Low potassium levels can increase the potential for digoxin toxicity. M.G. is taking furosemide, a loop diuretic that excretes potassium as well as sodium and water. Potassium levels should be monitored carefully during digoxin therapy. The other findings are within normal limits.
10. When you go to give the digoxin, you notice that it is available in milligrams (mg) not micrograms (mcg). Convert 125 mcg to mg. 125mcg = 0.125 mg If the student answers “.125 mg” the answer should be incorrect because, per The Joint Commission “Do Not Use” list, the leading zero should not be omitted.
Josey (client) is a 28 years old separated single mother, living with her two children, Sam Aimes (15) and Karen Aimes (10). She separated from her husband Don, because he was beating her very brutally. Josey’s parents did not trust about her character because she became pregnant when she was teenager and so many people had sex forcefully with her. Nobody knows even Sam’s father’s name. Karen is the daughter of Josey and Don. Because she had separated from her husband, now she did not have any sources…
4/9/2013 Business and Economics Case Studies in Finance Technical Content for Porsche Volkswagen CSX Instructor: Maria Strydom Go8 AFF5300 Case Studies in Finance Business and Economics Technical Content Readings: Chapter 5 from John C. Hull “Risk management and financial institutions” International Edition (2nd). Pearson. Available from the M onash library Derivatives and their use Derivatives Derivatives are a form of contingent claim – their value is contingent upon…
in Year One you will be required to submit three case studies at module ten. The learning outcomes and construction of the case study should follow the Chrysalis Marking and Grading Guidelines that have been supplied to you. The length of the case studies should be within 10% of the word count of 2000 words per case study (not including the screeds). Case studies are a very important part of your final diploma. Case studies should only be done on the issues that you have covered in the year. They…
Case Study: A Nurtured Criminal I. Introduction The case I want to cover deals with a 6- year- old boy who is the gunman in a Michigan elementary school shooting in which another classmate was shot in the library. Later police found him hiding in a corner scared. When asked about the situation he told them he was just trying to scare her. Should this little boy be held responsible for committing…
1. Being the largest manufacturer, installer, and servicer of elevators, escalators, and moving walkways in the world, Otis achieved huge success in recent years. This case study briefly discussed how IT tools being used by Otis since early 1980s to achieve the significant successes and how Otis turn itself from an engineering and manufacturing company to a service company and achieve its long term vision. As a key fundamental information system, Otis launched its first centralized customer service…
Case Study GSCM 520 May 10, 2015 Case Study: Timbuk 2 Timbuk2 ‘s custom messenger bag has quality, which configures as a competitive dimension that drives sales. The fact that the bags are very durable makes it even more appealing to the customers, which makes the company gain comparative advantage over competition. The process of quality relates to the ability of the company to provide such reliable products. Moreover, Timbuk2 has a quality design that is very appealing for customers as…
submicroscopic abnormalities. We found the prevalence of chromosome abnormalities in women facing a single sporadic miscarriage to be 45% (95% CI: 38–52; 13 studies, 7012 samples). The prevalence of chromosome abnormalities in women experiencing a subsequent miscarriage after preceding recurrent miscarriage proved to be comparable: 39% (95% CI: 29–50; 6 studies 1359 samples). More chromosome abnormalities are detected by conventional karyotyping compared to FISH or MLPA only (chromosome region specific techniques)…
business policy. Decision-making aids and tools are utilized in the process. A broad spectrum of problems will be presented to students for study and for solving. Prerequisites: This course if offered in a student’s final semester. Learning Outcomes/ Competencies: Students successfully completing this course will be able to: Read and analyze case studies for real organizations Provide recommendations based on information from the readings as well as previous classes taken. Understand the…
The following case study is conducted in regards to a 34-year-old women diagnosed with pheochromocytoma after an episode of malignant hypertension. Pheochromocytoma has been studied extensively, and the pathophysiology has been determined to be a result of a rare tumor that starts in the cells of the adrenal glands and causes increased and inappropriate hormone secretion. The resulting symptoms of the tumor are unspecific and includes, high blood pressure, sweating, irregular heartbeat and headache…
