Herzing NU 621 Advanced Pathophysiology

Herzing NU 621 Advanced Pathophysiology

Herzing NU 621 Advanced Pathophysiology

Unit 1 Discussion Myocardial Infarction

Discussion Question

Read the following case study and answer the posed questions:

Mr. T., a 45-year-old black man employed as a midlevel corporate manager, came to the doctor’s office seeking a physical examination. He appeared somewhat overweight. He denied taking any medications or smoking, but admitted drinking alcohol. His father and older brother have hypertension (HTN) and his paternal grandfather experienced a myocardial infarction (MI) and a CVA at a young age. Mr. T. stated, “A year ago at a health fair my cholesterol was tested. I was told later by mail that my cholesterol was 250 and I had to recheck my blood pressure.” His Bp at the time of his examination was 159/94, HR 96, weight 275, height 5’11 in.

• Explain the progressive pathophysiologic relationship between an MI and the development of left ventricular (LV) failure. What factors affect the severity of LV failure?

Next, visit http://www.cdc.gov/ncbddd/dvt/facts.html (Links to an external site.) and  access resources about deep vein thrombosis.

• Document the manifestations and management of clients with deep vein thrombosis.
• Submit a summary of some of the things you learned from this video.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Please review the rubric to ensure that your response meets the criteria.

NU 621 Quiz 1

Unit 2 Discussion COPD

Discussion Question

Read the following case study and answer the posed questions:

Mr. Les Brown has been diagnosed with COPD 10 years ago. He has been increasingly shortness of breath doing activities of daily living, needing to rest more frequently and feels he is coughing more often.

1. Explain the pathophysiology behind the signs and symptoms of COPD
2. What relationship do you see with Mr. Brown’s vital signs – 26 RR, 91% oxygen saturation, temp: 37.8, HR: 93 BP: 150/70
3. Describe the goals of care for Mr Brown. Make sure to use the COPD gold standards of care( https://goldcopd.org/wp-content/uploads/2018/02/WMS-GOLD-2018-Feb-Final-to-print-v2.pdf (Links to an external site.)) for your plan.
4. How would you follow up on your proposed plan of care?

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Please review the rubric to ensure that your response meets the criteria.

NU 621 Quiz 2

Unit 3 Discussion Hypothyroidism

Discussion Question

Read the following case study and answer the posed questions:

Case #1:

History: A 65 year old housewife complains of progressive weight gain of 40 pounds in 1 year, fatigue, dizziness, sluggish memory, slow speech, deepening of her voice, dry skin, constipation, and cold intolerance.

Physical examination: Vital signs: temperature 96.4^oF, pulse 68/minute and regular, BP 108/60, weight 170 lbs, height 5 feet, puffy face, pale, cool, dry skin. The thyroid gland is not palpable, deep tendon reflex time is delayed.

Laboratory studies: CBC and differential WBC are normal. The serum T4 concentration is 3.4 ug/dl (N=4.5-12.5), the serum TSH is .9 uU/ml (N=0.2-3.5), and the serum cholesterol is 275 mg/dl (N<200).

1. What is the likely diagnosis and what symptoms made you consider that diagnosis?
2. Which lab data supported the diagnosis?
3. Explain-Hypothalamic-Pituitary-Thyroid axis and interrelationship.

Case #2:

J.R. is a 58-year old man who presented with a 6-week history of polyuria, polydipsia, polyphagia, weight loss, fatigue, and blurred vision. A random glucose test performed on day of his visit and was 359 mg/dl. The patient denied any symptoms of numbness, tingling in hands or feet, dysuria, chest pain, cough or fevers. He had no prior history of diabetes and no family history of diabetes.

Admission non-fasting serum glucose 268 mg/dl (N=<180 mg/dl), HbA1c 9.6% (N=4-6.1%). Electrolytes, BUN and creatinine were normal. Physical examination revealed weight of 190 pounds, height 5’6.5″ . The rest of the examination was unremarkable, i.e., no signs of retinopathy or neuropathy.

1. What are the mechanisms of blurred vision which was part of his initial symptoms?
2. Are there correlations between his abnormal blood chemistries and his other symptoms?
3. Identify the cardiovascular and microvascular risk factors in the history, physical examination, and laboratory data in this patient.

Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Note: The value of each of the criterion on this rubric represents a point range (example: 25–20 points, 20–15 points, 15–10 points, 10–0 points).

Criteria	Exceeds Expectations	Meets Expectations	Needs Improvement	Inadequate	Total Points
Quality of Initial Post	Initial post is on time and of the correct length (500–750 words). All components of the initial post requirements are addressed. Course content synthesis is applied. References are included according to the Discussion instructions. 25 points	Initial post is on time and of the correct length (500–750 words). Most components of the initial post requirements are addressed. Course content synthesis is applied but limited. References are included according to the Discussion instructions. 20 points	Initial post is one day late. Does not meet the correct length (500–750 words). Some components of the initial post requirements are addressed. Course content synthesis is weak or missing. References are included but not according to the Discussion instructions. 15 points	Initial post is more than one day late. Initial post much fewer than (500–750 words). Few components of the initial post requirements are addressed. Course content synthesis is missing. References are not included. 10 points	25
Peer Replies	On time. There was substantial evidence and synthesis of course content utilizing course topics and the introduction of questions and new information. Replies are 200–400 words. References are included according to the Discussion instructions. 25 points	On time. There was some evidence and synthesis of course content utilizing course topics and the introduction of questions or new information. Replies are 200–400 words. References are included according to the Discussion instructions. 20 points	There was either some synthesis of course content or the introduction of questions or new information. Replies are less than 200 words. References are included but not according to the Discussion instructions. 15 points	There was little or no evidence of course content utilizing course topics or the introduction of questions or new information. Replies are less than 200 words References are not included. 10 points	25
Frequency of Contribution	Initial post with two peer replies posted on two separate days. 25 points	Initial post with two peer replies posted on the same day. 20 points	Initial post with one peer reply. 15 points	Only initial post submitted or only replied to peers. 10 points	25
Organization, Writing Mechanics, and APA Format	Clearly organized, no or limited writing mechanics and/or APA errors. 25 points	Clearly organized, few to some writing mechanics and/or APA errors. 20 points	Poorly organized, several to moderate writing mechanics and/or APA errors. 15 points	Poorly organized, many writing mechanics and/or APA errors. 10 points	25
Total points					100