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2. Describe other clinical

Week 3 discussion

Week 3 Threaded Discussion Question 1 of 2

1. Discuss circulatory failure (shock) and the pathophysiology of shock.

Include the cellular responses and compensatory mechanisms of shock

2. Then choose one of the following types of shock and explain the pathophysiology, manifestations, and treatment:

1. Hypovolemic Shock

2. Cardiogenic Shock

3. Obstructive Shock

4. Neurogenic Shock

5. Anaphylactic Shock

5. Sepsis and Septic Shock

Please write the type of shock you are discussing in the Subject bar.

Respond to other students’ posts who chose a different type of shock than the one you discussed in your Initial response post.

The Course Objectives (COs) that guide your learning this week are:

CO 8: Identify a pathophysiological question or hypothesis relating to an ares of potential study of interest

CO 9: Explain assessment and intervention in a specific pathophysiological state

CO 10: Review a pathophysiologic evidence-based study of interest relevant to a selected area of nursing study

CO 14: Evaluate the concepts of pathophysiologic alterations in the application of the nursing process in clinical practice

Week 3 Threaded Discussion 2 of 2

Please choose one of the following Case Studies to discuss:

Case Study 1

A 78 year-old man is admitted to the hospital with the chief complaint of shortness of breath. He states the shortness of breath has been increasing over the past 2 months and is aggravated by exertion. He has found that he often awakens at night with a sensation of “feeling like he is smothering” that is partially relieved when he gets up and opens the window. He has no ankle swelling or edema noted.

Past medical history is only positive for myocardial infarction 8 years ago. He currently does not have complaints of chest pain. BP is 140/98. When the nurse listens to his heart, she hears a normal S1 and S2 with a rate of 88. When auscultating his lungs, the nurse notes bibasilar rales. There is no peripheral edema.

The admission diagnosis for the patient was left-sided heart failure.

1. Describe the pathophysiology of left-sided heart failure

2. Describe other clinical manifestations the nurse would monitor for in this patient. Which clinical manifestations would be seen in only left-sided failure? Which symptoms would occur if right-sided failure was present also?

Case Study 2

An 82 year-old woman presented in the Emergency Department (ED) with complaints of chest pain, fainting episodes (syncope), feeling palpitations in her chest, and shortness of breath when walking. The result of her EKG shows she has a supraventricular arrhythmia indicating AV heart block. The client’s daughter is with her in the ED.

1. Explain the pathophysiology of the normal conduction system of the heart and how AV heart block disrupts the normal conduction system.

2. The physician tells the client she needs to have a pacemaker inserted. Help the patient and her daughter understand how the pacemaker will alter the electrical path of the heart.

Please write the Case Study you are discussing in the Subject bar.

One of your peer posts must be to a student who chose a different Case Study than the one you discussed in your Initial response post.

The Course Objectives (COs) that guide your learning this week are:

CO 6: Describe the anatomy and physiology of the cardiovascular system, diagnostic procedures in disease states, coronary atherosclerotic disease, valvular heart disease, cardiac mechanical function and circulatory support, and vascular disease.

CO 8: Identify a pathophysiological question or hypothesis relating to an ares of potential study of interest.

CO 9: Explain assessment and intervention in a specific pathophysiological state.

CO 10: Review a pathophysiologic evidence-based study of interest relevant to a selected area of nursing study.

CO 11: In collaboration with a healthcare team (or simulated situation), explain application of this study in nursing practice to improve patient outcomes/or positively impact.

CO 13: In actual/simulated evidence-based nursing practice communicate/document the process and outcome to involve patients, families, and healthcare teams.

CO 14: Evaluate the concepts of pathophysiologic alterations in the application of the nursing process in clinical practice.

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