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NR526_Case_Study_MAISIE-ALBERT
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RUNNING HEADER: CASE STUDY ASSIGNMENT 1Case Study Assignment
Maisie Albert
Chamberlain College of Nursing
NR 526 Advanced Pathophysiology, Health Assessment, and Pharmacology for Nurses
Dr. Cheryl Luster-Klemp
April 1, 2018
This study source was downloaded by 100000830246019 from CourseHero.com on 07-10-2022 07:24:12 GMT -05:00
https://www.coursehero.com/file/33455916/NR526-Case-Study-MAISIE-ALBERTdocx/
, RUNNING HEADER: CASE STUDY ASSIGNMENT 2
Student Name: Maisie Albert
Case Study Topic (health condition related to your case study): Congestive Heart Failure
Objectives:
1. At the end of this simulation the student will state the physiological basis for the
clinical manifestations of heart failure.
2. At the end of this simulation the student will describe expected clinical assessment
findings for patients with heart failure.
3. At the end of this simulation the student will discuss the standard pharmacological
therapies for chronic heart failure.
4. At the end of this simulation the student will explain nonpharmacological therapies
for management of heart failure.
5. At the end of this simulation the student will describe expected outcomes for
therapeutic management of patients with heart failure.
Case Study:
Mr. Connors has arrived at the Emergency Department at his local hospital. He is a 69-year-
old male whose chief complaint is shortness of breath. He is alert and oriented. Past medical
history includes myocardial infarction, congenital heart disease, and hypertension. Mr.
Connors is an every day smoker and has been for the past 40 years. When asked about his
diet he does not follow a cardiac healthy diet. Mr. Connors states he has noticed an increase
in his shortness of breath of the past week. He has also noticed increased swelling in both of
his lower extremities. Mr. Connors denies any recent cold but has noticed a cough that
produces white or pink blood-tinged mucus. He also complains of a tired feeling all the time
and difficulty with everyday activities. He denies any chest pain. Crackles can be auscultated
to right and left lower lobes. Patient is short of breath with minimal activity. Vital signs read a
blood pressure of 179/82, pulse 88, respirations 22, O2 saturation of 94%. +2 pitting edema
noted to bilateral lower extremities. Heart rate is regular. When asked about a support
system at home patient states he lives at home with his wife and that his sons stop by often
to help him with up keep of the house. Mr. Connors states he is very social with his family
and often hosts large family cookouts on Sundays. Denies any anxiety or thoughts of self-
harm.
Current Patient Medications
Metoprolol Tartrate 25mg PO BID
Aspirin 81 mg PO Daily
Multivitamin 1 Tab PO Daily
This study source was downloaded by 100000830246019 from CourseHero.com on 07-10-2022 07:24:12 GMT -05:00
https://www.coursehero.com/file/33455916/NR526-Case-Study-MAISIE-ALBERTdocx/
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