Other
NR 507 Week 2 Case Study DB- Heart Failure
- Institution
- Chamberlain College Of Nursing
Chamberlain NR 507 Week 2 Case Study DB- Heart Failure
[Show more]
Content preview
Week 2 DB –Week 2 Case Study – Heart Failure
Read the case study below.
In your initial discussion post, answer the questions related to the case scenario and
support your response with at least one evidence-based reference by Wed., 11:59 pm
MT.
Provides a minimum of two responses weekly on separate days; e.g., replies to a post
from a peer; AND faculty member's question; OR two peers if no faculty question using
appropriate resources, before Sun., 11:59 pm MT.
Case Scenario
A 72-year-old male presents to the primary care office with shortness of breath, leg
swelling, and fatigue. He reports that he stopped engaging in his daily walk with friends
three weeks ago because of shortness of breath that became worse with activity. He
decided to come to the office today because he is now propping up on at least 3 pillows
at night to sleep. He tells the NP that he sometimes sleeps better in his recliner chair.
PMH includes hypertension, hyperlipidemia and Type 2 diabetes.
Physical Exam:
BP 106/74 mmHg, Heart rate 110 beats per minute (bpm)
HEENT: Unremarkable
Lungs: Fine inspiratory crackles bilateral bases
Cardiac: S1 and S2 regular, rate and rhythm; the presence of 3rd heart sound; jugular
venous distention. Bilateral pretibial and ankle 2+pitting edema noted
ECG: Sinus rhythm at 110 bpm
Echocardiogram: decreased wall motion of the anterior wall of the heart and an ejection
fraction of 25%
Diagnosis: Heart failure, secondary to silent MI
Discussion Questions
1. Differentiate between systolic and diastolic heart failure. (McCance & Huether, 2019).
Systolic heart failure is left heart failure with a reduced ejection fraction of less than
40%. The ejection fraction is the volume of blood ejected from the ventricles with each
heartbeat. A reduced ejection fraction is an inability of the heart to produce enough
cardiac output to perfuse vital tissues in the body.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MKSullivan. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now