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Case Study 3 Congestive Heart Failure

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Case Study 3 Congestive Heart Failure
Case Study 3 – Congestive Heart Failure

Patient Case Question 1. Based on the limited amount of information given above, do you suspect that this patient has developed left-sided CHF, right-sided CHF, or total CHF? right-sided CHF

Patient Case Question 2. How did you arrive at your answer to Question 1? right-sided CHF = fluid may back up into your abdomen, legs and feet, causing swelling.

Patient Case Question 3. What is a likely cause for this patient’s heart failure? Increasing age (over 65 she is 69), and smoker ( 3 packs a day)

Patient Case Question 4. From the information given above, identify three risk factors that probably contributed to the patient’s heart attack five years ago. Overweight, smoker, family history

Patient Case Question 9. What can you say about this patient’s blood pressure? 125/80 Both a little high, sign of Prehypertension

Patient Case Question 10. Why might this patient be tachycardic? Tachycardia means a fast heart rate, due to right-sided heart failure

Patient Case Question 11. Why might this patient be tachypneic? an abnormally rapid rate of breathing due to weight, heart has to work harder

Patient Case Question 12. Is this patient technically underweight, overweight, obese, or is her weight healthy? Weight = 215, height = 5'8” female BMI = 32.7 Obesity = BMI of 30 or greater

Patient Case Question 13. Explain the pathophysiology of the abnormal skin manifestations. Hers is pale with cool extremities; CHF clinical manifestations: pale, mottled or grayish appearance in skin color

Patient Case Question 14. Do abnormal findings in the neck (JVD and HJR) suggest left heart failure, right heart failure, or total CHF? A positive test correlates with the pulmonary artery pressure and thus is a marker for right heart dysfunction (both positive in the patient)

Patient Case Question 15. Which abnormal cardiac exam and chest x-ray findings closely complement one another? Chest x-ray:

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