Advanced Physiology and Pathophysiology Essay.
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By the due date assigned, respond to the case study questions below and submit your responses to the Discussion Area.Advanced Physiology and Pathophysiology Essay.
Respond to the question using the lessons and vocabulary found in the readings. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow APA format for writing style, spelling and grammar, and citation of sources.
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Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by analyzing each response for completeness and accuracy and by suggesting specific additions or clarifications for improving the discussion question response. Complete your participation for this assignment by the end of the week.
Case Study:
An 18 year old college student reports a history of episodic attacks of shortness of breath, dry cough, and wheezing for the last 5 years. These symptoms usually occur during a change of weather or whenever she “catches a cold”. Symptoms also reported to worsen during night and early morning. Accompanying symptoms of recurrent sneezing, runny nose, and itchy eyes.
The patient reports she was prescribed some inhaler medications by her practitioner two years ago for use as needed. She stopped the meds as she was concerned over inhaler dependence. Intermittently she takes cough syrup during “attacks” with some help.Advanced Physiology and Pathophysiology Essay.
PMH: No diagnosed chronic illnesses
SH: College student, single, lives with parents. Father is smoker in the home, use dry wood in the home in fireplace
ROS:
Constitutional: Denies fever, denies weight loss
Respiratory: Denies hemoptysis, reports mostly dry cough
Cardiovascular: Tightness in chest at times
ENT: Denies ear pain, mild rhinorrhea reported, scratchy throat intermittently
Question answers should be based on evidence found in readings and from peer-reviewed literature. At least two sources must be used and cited in APA format for each question. Only one source can be a textbook. Resources should generally be within 5 years unless you are explaining the pathophysiology of a disease or providing pertinent background information.
Discussion Questions:
- Based on the history provided, the health care provider suspects asthma with varying frequency and intensity. Describe whether this condition is restrictive or obstructive and support with evidence.
- Describe the pathophysiologic process that occurs with asthma and support with evidence from the literature.
- Explain what confirmatory testing is evidence based practice for diagnosing asthma and how this information can guide the treatment plan.
Amanda is an 18-year-old with anorexia nervosa. She was recently admitted to an eating disorders clinic with a BMI of 13.9, and although she was a voluntary patient, she was reluctant about the treatment. She was convinced she was overweight because her clothes felt tight on her. She complained that even her hands and feet “were fat.” One of her nurses explained that a protein in her blood was low. The nurse further explained that, as difficult as it may be to believe, eating a normal healthy diet would make the “fat hands and feet” go away.Advanced Physiology and Pathophysiology Essay.
What protein do you suspect the nurse was referring to? How would a deficiency in this protein contribute to edema?
What is the difference between the physiology of pitting and nonpitting edema?
Because of her weakened condition, Amanda was moved around the ward in a wheelchair when she was not on bed rest. How does this affect her edematous tissues?
NURBN2016, 2019
Assignment – 2
Page 1 of 2
NURBN 2016 ASSESSMENT TASK 2: Case Scenario
Melanie Johnson is a 55-year-old, mother of 5 kids and lives in a rural Victorian town. She
married Frank who is an electrician, for 18 years. They live on a farm, tending to be selfsufficient
growing their veggies, some fruit and have chicken and cows. Their five kids are
aged between 10 and 15 years. Melanie does home-schooling for all her kids. She got
concerned with her feeling of increasing tiredness, nausea and general pruritus. She told
Frank that it was not just related to her menopause but she suspects it to be something
more serious.
She visited her GP, who found her BP to be 190/110mm Hg. Although she is not diagnosed
with hypertension, she admitted getting severe headaches and sometimes palpitations for
over 5 years, when she was worried about the drought. She has been taking Ibuprofen and
naproxen for the headaches over nearly 12 years but did not seek medical help as they
would settle. Further, she was referred to a nephrologist and was diagnosed with chronic
renal failure. After reviewing her blood results below, Melanie has been advised to undergo
renal replacement therapy (Haemodialysis) after creating an arteriovenous fistula (AV
fistula)
Her blood results were:
GFR (glomerular filtration rate) was found to be 10ml/min/1.73m2
Hb (Haemoglobin) was 95g/L
Serum Potassium was 5.7 mmol/L
Serum Urea 17 mmol/L
Serum Creatinine 90 umol/L
Part 1. (1000 words)
1.1 Briefly describe the renal anatomy and physiology (200 words)
1.2 Discuss the pathophysiology of chronic renal failure in Melanie, including her risk
factor(s), possible complications and treatment options (500 words)
1.3. Identify at least 6 differences between Acute and Chronic renal failure. (100 words)
1.4. Discuss renal replacement therapy (haemodialysis) with clear links to Melanie’s case.
(200 words)
Part 2. (650 words)
Melanie has been commenced on tablet valsartan 80 mg OD and injection Eprex 50 IU/kg iv
three times/week, apart from other drugs.
2.1 Discuss the two medications used for Melanie, with rationale and clear links to her case.
Include 4 major side effects and 4 nursing considerations relevant to Melanie for each drug.
NURBN2016, 2019
Assignment – 2
Page 2 of 2
(500 words)
2.2 Discuss the GFR and Hb blood test performed for Melanie. What do her results indicate
(GFR and Hb only)? (150 words)
Part 3. (350 words)
3. Melanie asks how she can manage her chronic renal failure.
– Discuss what the teach-back method is? (100 words).
– Using the teach-back method, discuss how you would educate Melanie to manage her fluid
intake in relation to her diet. (250 words).
Pathophysiology is taught to medical students, including undergraduates and postgraduates to impart knowledge regarding the deviation of mechanisms from the normal physiological processes to the students. This helps the students to assess pathological processes and mechanisms leading to the progress of diseases in future clinical practices, which caters to their future clinical growth and development.
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Assignment Formats
Case Study
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