Meriam is an 80-year-old female. She has been independently living in her apartm
ID: 95118 • Letter: M
Question
Meriam is an 80-year-old female. She has been independently living in her apartment. Meriam has a history of diabetes, hypertension, asthma, and obesity. Over the summer, Meriam noticed increased periods of shortness of breath with activity. She also noted a 10-pound weight gain over a 2-week period with a progressive cough. Meriam went to the clinic and had a series of tests ordered. Ultimately, Meriam was diagnosed with acute congestive heart failure
a. What clinical manifestations is Meriam experiencing? How are they related to the alteration that is occurring within her body?
b. What body processes are being affected by Meriam’s heart failure? In what way does the heart failure impact those processes?
c. What do you suspect is the etiology for Meriam's heart failure?
d. Describe the development of Meriam's heart failure
Explanation / Answer
Answer:
Clinical manifestations:
1)Shortness of breath (dyspnea) when you exert yourself or when you lie down
2) Weakness
3) Sudden weight gain
4) cough
Rapid irrrugular heart beat is associated with shortness of breath.
Beacause there was a heart failure,Cholesterol content might get high fluids may bay up in the abdomen, legs feet causing swelling and weight gain.
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Because this symptoms happend suddenly to Meriam it is called acute congestive heart failure.
The blood circulatory system, the excreratory system are affected by this heart failure.
Because of excess fluid in the lungs the shortness of brath happens.Pumping action of the heart gets weaker.
Fluid accumulation throuout the body afftes the excreratory system.
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Etiology:
Hypertension
Valvular disease
Coronary artery disease
Endocrine disorders
Nutritional deficiencies
Familial cardiomyopathy
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the heart is unable to keep up and the amount of blood pumped is more than is typical causing heart failure. Meriam has hypertension so the heart failure cropped up.
Because she has chronic diabetes kidneys are also affected. The kidneys may respond by causing the body to retain fluid (water) and salt. If fluid builds up in the arms, legs, ankles, feet, lungs, or other organs, the body becomes congested, and congestive heart failure is the term used to describe the condition.