had been short of breath lying down . He sat up to pant for breath and after few minutes he felt better . Whilst sitting at edge of the bed to catch his breath he felt dizzy and almost lost consciousness . In the case of fainting or loss of consciousness it is important and acceptable to gain information from a witness (Cox, 2010). Mrs Jones was included in the history taking as she witnessed the event . She noted that Mr Jones had dizzy spells , shortness of breath on exertion and…
Heart failure results in low cardiac output and inadequate filling of the arteries which causes the heart to be unable to pump enough blood to meet with tissue demand of oxygen and nutrients. Consequently, the neurohormonal system activates several feedback mechanisms. The baroreceptors in the aortic arch and carotid sinus that normally inhibit sympathetic nervous system activity are blunted in the patient who is experiencing heart failure. This results in high levels of circulating…
to have quit 5 years ago. The patient had come in with a chief complaint of shortness of breath. Upon evaluation through chest x-ray and cultures, the patient revealed to have lower lobe pneumonia. Dullness and crackles at the base of lungs due to stagnation of secretions at lung bases had occurred most likely because he was an older patient and did not mobilized effectively. Presented tachycardia due to shortness of breath…
Myocardial Ischemia Introduction A 55-year old, male truck driver, presents with crushing central chest pain which has radiated to his neck and occurred on rest. On arrival, the patient was pale and clammy, demonstrated shortness of breath. his pulse rate was 120 beats per minute, blood pressure 150/70 and his oxygen saturation level was 96%. The patient presented with chest pain due to myocardial ischaemia. Myocardial ischaemia is a disease caused by a coronary artery obstruction which reduces…
Case Study -- Steven Steven is a 15-year-old indigenous boy, who has asthma since he was two. He shows up in the hospital and complains about shortness of breath. Steven stays with his mother and 6 siblings in a remote town in rural Australia. Based on Steven’s situation, this essay will discuss about the pathophysiology about asthma, and then evaluate the nurse’s role of providing the nursing care for both Steven and his family. Harver and Kotses (2010) define asthma as the chronic inflammatory…
Dyspnea is the most significant symptom of a patient with emphysema. In the early stage of the disease, shortness of breath occurs during mild physical activity and as the diseases progresses shortness of breath is noticeable even while at rest. Porth (2015), mentioned that “pink puffer” is a mnemonic term to describe patient emphysema due to lack of cyanosis, use of accessory muscle, and pursed-lip breathing…
Signs and symptoms Because diagnosis is established on blood pressure analyses, this situation can go unnoticed for years, as signs do not normally come out up until the body is harmed from chronic high blood pressure. Some common symptoms of high blood pressure are also present in other conditions hence the difficulty in diagnosis without taking the blood pressure. Symptoms may include body pains, headache, fatigue, dizziness and other end organ specific symptoms such as poor vision. •…
The incidence of atrial fibrillation increases with age which can causes serious problems in older people, leading to stroke and/or heart failure. Risk factors include hypertension, previous ischemic stroke, transient ischemic attack or other thromboembolic event, coronary heart disease, diabetes mellitus, heart failure, and mitral valve disease (Holding et al., 2009). In addition to advanced age, patients that are obese, of the Caucasian race, or have a history of excessive alcohol use are at…
Respiratory – crackles and wheezes heard over lower lung fields Edema – 2+ pitting edema up to mid calf, with ascites JVP- >3cm vertically above the sternal angle BP- 110/80 (sitting) 90/80 (standing) He recently complained of generalized weakness, shortness of breath and chest pain MEDICATIONS Epoetin Alfa 2000 units S/C 2x a wk FeSo4 + Folic Acid once a day IV iron 100mg for 10 consecutive dialysis Calcitriol 0.5 mcg/wk Sevelamer Carbonate 800mg TID Hydroxyzine 10mg prn Humalog injection 3x…
to irritants (Henry et al., 2016). As a nurse who cares for patients with COPD, they are often the priority in the ward when experiencing dyspnea, because breathing is a basic and physiological need according to Maslow’s Hierarchy of Needs. Shortness of breath can lead to impaired quality of life and is usually the reason that…