Pathophysiology Case Study Essay

forbearing berth Question 1 For which condition is this persevering likely pickings nifedipine?Nifedipine is a calcium channel blocker utilize to treat high transmission line pressure and chest annoyance. perseverings past medical history omens that he has had hypertension for years, the uncomplaining is just about likely pickings Nifedipine to bed this condition. May also be taking nifedipine so as to prevent chest pain from his past condition of Coronary Artery Disease (CAD). longanimous Case Question 2 For which condition is this enduring likely taking lisinopril?Lisinopril is an ACE inhibitor that treats high blood pressure and heart failure. diligent could be taking lisinopril in tandem with nifedipine to manage his hypertension and Coronary Artery Disease. tolerant Case Question 3 For which Condition is this longanimous likely taking paroxetine?Paroxetine is used to treat variant mood disorders. It is most likely that the uncomplaining is taking paroxetine to tr eat his generalize anxiety disorder, which he has been experiencing for the past 18 months (according to his past medical history).Patient Case Question 4 What is meant by encamp of the jumble and what does this clinical ratify suggest? cantonment of the skin involves a skin turgor test. By pulling a fold of skin from the back of the hand, lower arm, or abdomen with two fingers one can assess the ability of the patients skin to change shape and return to normal (elasticity). Tenting of the skin, indicates that the skin is non returning to normal quickly, which means the person has repellant dehydration, a fluid loss of 10% body weight. The result of his skin turgor test indicates late signs of dehydration (patient had skin with poor turgor), and the presence of tenting in the skin indicates the severity of his dehydration. Patient Case Question 5 Are the negative gray-headed Turner and Cullen signs evidence of a darling or poor chance?A positive test for Cullen sign occurs when a patient has superficial bruising in the subcutaneous fatten around the umbilicus. A positive GreyTurner test occurs when a patient has bruising of flanks (last rib to top of hip), which indicates a retroperitoneal hemorrhage. Both Cullen and Grey Turner signs be used to indicate/predict knowing pancreatitis, when these signs are present one has a high rate of mortality (37%). The patient tested negative for both Grey Turner and Cullen signs, so his prognosis is good.Patient Case Question 6 Identify THREE study risk factors for astute pancreatitis in this patient.Patient has sinus tachycardia, paired with the patients severe dehydration the patient is showing signs of having ague pancreatitis. Patient also has a history of alcohol abuse and is regularly taking ACE inhibitors, which puts him at a high risk of developing acute pancreatitis. Patient also has diminished bowel sounds that indicate possible acute pancreatitis.Patient Case Question 7 Identify TWO freakish la boratory tests that suggest that acute renal failure has developed in this patient.Patients Blood Urea Nitrogren (BUN) direct is 34 mg/dL which indicates decreased kidney function. Patient has a potassium take of 3.5 milliequivalent/L which is below normal range (3.7- 5.2 meq/L), this indicates possible renal artery stenosis. Both of these lab results suggest that the patient has developed acute renal failure.Patient Case Question 8 Why are hemoglobin and hematocrit abnormal? Patients hemoglobin level is 18.3 g/dL, normal hemoglobin levels for men are between 14 and 18 g/dL. Patients hematocrit level is 53%, normal hematocrit levels are 40-50%. This abnormally high lab results indicate early stages of kidney disease and anemia. Patient has developed acute renal failure, so these test results are as expected for a patient nether such conditions.Patient Case Question 9 How many Ranson criteria does this patient have and what is the probability that the patient will die from this at tack of acute pancreatitis?Patient has seven points of Ranson criteria. Patients WBC count was oer 16K, patient is oer age 55, patients blood glucose level was higher than200 mg/dL, patients LDH level was over 350, patient had high BUN level, and Patient had high fluid postulate due to his dehydration. Patients predicted mortalitiy is 100% based upon the Ranson criteria, so it is real likely that the patient will die from this attack of acute pancreatitis.Patient Case Question 10 Does the patient have a epochal electrolyte imbalance?Patient has a sodium level that is 1 meq/L below normal range, and a potassium level 0.2 meq/L below normal range. This indicates that the patient is having renal complications that are interfering with electrolyte balance. Patient Case Question 11 Why was no blood drawn for an ABG determination?No blood was drawn for an ABG determination because patients lungs were clear to no auscultation, so no test was necessary to test patients blood PH. Also pa tient had piss with a PH within normal range, so an ABG test was not really needed.