Stress Management
Question 1
Mr. Jones, aged 70 years, has a history of Left Ventricular Failure and has been admitted to a medical admissions unit with dyspnoea and is found to be tachycardic. He is accompanied by his wife.
a) Discuss the immediate care that would be given by the multidisciplinary team to aid Mr Jones dyspnoea.
(12Marks)
Feedback Question 1a:
Those who did well: demonstrated a clear understanding of the anatomy and physiology of the heart and the pathophysiology of LVF, discussing compensatory mechanisms, the development of pulmonary oedema and how this related to his clinical symptoms of dyspnoea and the involvement of the MDT.
Those who did not do the question well: showed a lack of understanding of the anatomy and physiology of the heart and /or did not discuss correctly and with detail, the pathophysiology of LVF and the development of dyspnoea and tachycardia. It is advisable for students to revise the normal anatomy and physiology and pathophysiology relating to the development of LVF and dyspnoea caused by the presence of pulmonary oedema and show a clear understanding of the signs and symptoms a patient might present with. b) His wife has handed over his medications bought in from home. These include furosemide (diuretic), enalapril (ace-inhibitor) and carvedilol (beta-blocker). With reference to the pathophysiology of left ventricular failure, explain the reason these drugs are prescribed.
(6marks)
Feedback Question 1b:
Those who did well demonstrated understanding of the actions of each of the drugs and related this effectively to the pathophysiology. In so doing were able to clearly and concisely explain why these drugs were prescribed and how patients benefitted from the drug actions
Those who did not do well demonstrated either a lack of knowledge or superficial awareness of the drugs in question. Knowledge of the
Mr. Jones, aged 70 years, has a history of Left Ventricular Failure and has been admitted to a medical admissions unit with dyspnoea and is found to be tachycardic. He is accompanied by his wife.
a) Discuss the immediate care that would be given by the multidisciplinary team to aid Mr Jones dyspnoea.
(12Marks)
Feedback Question 1a:
Those who did well: demonstrated a clear understanding of the anatomy and physiology of the heart and the pathophysiology of LVF, discussing compensatory mechanisms, the development of pulmonary oedema and how this related to his clinical symptoms of dyspnoea and the involvement of the MDT.
Those who did not do the question well: showed a lack of understanding of the anatomy and physiology of the heart and /or did not discuss correctly and with detail, the pathophysiology of LVF and the development of dyspnoea and tachycardia. It is advisable for students to revise the normal anatomy and physiology and pathophysiology relating to the development of LVF and dyspnoea caused by the presence of pulmonary oedema and show a clear understanding of the signs and symptoms a patient might present with. b) His wife has handed over his medications bought in from home. These include furosemide (diuretic), enalapril (ace-inhibitor) and carvedilol (beta-blocker). With reference to the pathophysiology of left ventricular failure, explain the reason these drugs are prescribed.
(6marks)
Feedback Question 1b:
Those who did well demonstrated understanding of the actions of each of the drugs and related this effectively to the pathophysiology. In so doing were able to clearly and concisely explain why these drugs were prescribed and how patients benefitted from the drug actions
Those who did not do well demonstrated either a lack of knowledge or superficial awareness of the drugs in question. Knowledge of the