2173 Salk Avenue, Suite 250 Carlsbad, CA

support@assignmentprep.info

Module 1 Discussion 1 Discussion 1 Hematopoietic: J.D. is a 37 years old white w

May 13, 2024

Module 1 Discussion 1
Discussion 1
Hematopoietic:
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.
Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.
Case Study Questions
Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.
Cardiovascular
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.
Case Study Questions
For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.
Submission Instructions:
Include both case studies in your post.
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

Struggling With a Similar Paper? Get Reliable Help Now.

Delivered on time. Plagiarism-free. Good Grades.

What is this?

It’s a homework service designed by a team of 23 writers based in Carlsbad, CA with one specific goal – to help students just like you complete their assignments on time and get good grades!

Why do you do it?

Because getting a degree is hard these days! With many students being forced to juggle between demanding careers, family life and a rigorous academic schedule. Having a helping hand from time to time goes a long way in making sure you get to the finish line with your sanity intact!

How does it work?

You have an assignment you need help with. Instead of struggling on this alone, you give us your assignment instructions, we select a team of 2 writers to work on your paper, after it’s done we send it to you via email.

What kind of writer will work on my paper?

Our support team will assign your paper to a team of 2 writers with a background in your degree – For example, if you have a nursing paper we will select a team with a nursing background. The main writer will handle the research and writing part while the second writer will proof the paper for grammar, formatting & referencing mistakes if any.

Our team is comprised of native English speakers working exclusively from the United States. 

Will the paper be original?

Yes! It will be just as if you wrote the paper yourself! Completely original, written from your scratch following your specific instructions.

Is it free?

No, it’s a paid service. You pay for someone to work on your assignment for you.

Is it legit? Can I trust you?

Completely legit, backed by an iron-clad money back guarantee. We’ve been doing this since 2007 – helping students like you get through college.

Will you deliver it on time?

Absolutely! We understand you have a really tight deadline and you need this delivered a few hours before your deadline so you can look at it before turning it in.

Can you get me a good grade? It’s my final project and I need a good grade.

Yes! We only pick projects where we are sure we’ll deliver good grades.

What do you need to get started on my paper?

* The full assignment instructions as they appear on your school account.

* If a Grading Rubric is present, make sure to attach it.

* Include any special announcements or emails you might have gotten from your Professor pertaining to this assignment.

* Any templates or additional files required to complete the assignment.

How do I place an order?

You can do so through our custom order page here or you can talk to our live chat team and they’ll guide you on how to do this.

How will I receive my paper?

We will send it to your email. Please make sure to provide us with your best email – we’ll be using this to communicate to you throughout the whole process.

Getting Your Paper Today is as Simple as ABC

No more missed deadlines! No more late points deductions!

}

You give us your assignments instructions via email or through our order page.

Our support team selects a qualified writing team of 2 writers for you.

l

In under 5 minutes after you place your order, research & writing begins.

Complete paper is delivered to your email before your deadline is up.

Want A Good Grade?

Get a professional writer who has worked on a similar assignment to do this paper for you