Our Services

Get 15% Discount on your First Order

case study Exercise Content 1. Top of Form Week 6 Case Study III Patient With Fatigue EM is a 74-year-old male with a

June 4, 2024

case study

Exercise Content

Top of Form

Week 6 Case Study III

Patient With Fatigue

EM is a 74-year-old male with a history of rheumatoid arthritis (RA) who presents in the clinic with a complaint of fatigue. EM is ambulatory with a walker and recently has had intermittent flare-ups of his rheumatoid arthritis (RA) disease activity, with increasing pain and swelling in his affected joints. His energy has been declining over the past few months, so he thought it was a good time to come in for follow-up laboratory testing and reassessment of his medications. Most troublesome, he has fainted twice in the past 2 weeks, which resulted in falls onto his carpeted floor. He is afraid to go out into public and even more afraid to drive his car. He has also had some chest pains with exertion. He is eating and sleeping okay, although he does sleep better if his head is elevated on a few extra pillows. He lives alone and gets meals delivered by a local organization.

Past Medical History

· RA for 35 years, affecting hands, feet, knees, hips, and cervical spine

· Systolic hypertension

· Presbycusis

Medications

· Ibuprofen, 600 mg three to four times per day as needed

· Methotrexate, 7.5 mg weekly

· Atenolol, 25 mg daily

· Hydrocodone/acetaminophen, 5 mg/500 mg every 6 hours as needed for pain

Physical Examination

· Height: 71 inches; weight: 160 lbs.; BMI: 22.3; blood pressure: 162/60; pulse: 84; respiration rate: 16; temperature: 98.6 °F

· Well-developed, well-nourished elderly male in no distress; pale

· Lungs: bibasilar rales

· Heart: regular rate and rhythm, grade 3/6 systolic murmur, audible S3; positive carotid bruit on the left

· Abdomen: no masses, nontender

· Rectal: prostate 3+ enlarged, hemoccult negative brown stool

· Extremities: marked ulnar deviation of MCP and IP joints in both hands

Labs and Imaging

· Hemoglobin: 8.9 g/dL

· Mean corpuscular volume (MCV): 80 fL

· White blood cell count: 10.7 × 10

9
/L

· Platelets: 250,000/L

· Reticulocyte count: 0.8%

· Ferritin: 415 mcg/L

· Electrocardiogram: no acute findings; some evidence of left ventricular hypertrophy

Discussion Questions

1.What is EM’s diagnosis?

2.What is the underlying pathophysiology of EM’s condition?

3.What is the best therapeutic approach to the treatment of EM’s condition?

Bottom of Form

>Nursing homework help

Share This Post

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

46 y/o African American male who recently was seen in the Emergency Department for alcoholic withdrawal seizures and released. Referred to clinic for follow up

46 y/o African American male who recently was seen in the Emergency Department for alcoholic withdrawal seizures and released. Referred to clinic for follow up on his hypertension history. He ran out of the Norvasc prescription given by the Emergency Department. He is living in a homeless shelter now. He

Theories & Conceptual Models Evaluate theories and conceptual models from nursing

Theories & Conceptual Models Evaluate theories and conceptual models from nursing and related fields for use in advanced nursing practice. Submission Instructions: · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. · Due

Module 6 Discussion APN Business Planning Discuss the process of Advanced

Module 6 Discussion APN Business Planning Discuss the process of Advanced Practice Nurse (APN) business planning from a system approach. Submission Instructions: · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources. · Due april

The Final Paper consists of a discussion, analysis, and application of the concepts of Employee Relations, Alternative Dispute Resolution, and choosing the

The Final Paper consists of a discussion, analysis, and application of the concepts of Employee Relations, Alternative Dispute Resolution, and choosing the appropriate type of Business Entity, with a specific focus of each of these areas of the law to the role of Christian leadership in the workplace. Biblical passages

“The importance of Local History” Needs to be between 200-500 words

Art of Activist, Politics, and Propaganda Throughout history, art has often been used vehicle to spread information. Propaganda Art is the deliberate

Art of Activist, Politics, and Propaganda Throughout history, art has often been used vehicle to spread information. Propaganda Art is the deliberate spreading of information and ideas to help a movement, institution, or nation. Activist / Political / Propaganda Art is created to raise awareness, support activists or candidates, criticize

see attachment Diversity, Tolerance, and Respect in Human Relations View the PowerPoint presentation for this module and

see attachment Diversity, Tolerance, and Respect in Human Relations View the PowerPoint presentation for this module and additional resources. Then, do a database search for scientific psychology studies related to the topics discussed in this module. Be specific in your search and prioritize research related to diversity in human relationships

Page 1 of 2 Background iPremier (A), iPremier (B), and iPremier (C) cases describe an IT security crisis, and raise issues of risk management,

Page 1 of 2 Background iPremier (A), iPremier (B), and iPremier (C) cases describe an IT security crisis, and raise issues of risk management, preparation for crisis, management of crises, computer security, and public disclosure of security risks. After you experience the cases and debrief what you have learned, you

working on a class excel sheet Formulas UNIT III THE RELATIONSHIP OF MARKUP TO PROFIT I TYPES OF MARKUP A. Initial Markup Concepts

working on a class excel sheet Formulas UNIT III THE RELATIONSHIP OF MARKUP TO PROFIT I TYPES OF MARKUP A. Initial Markup Concepts dollars % original or first retail price billed cost of merchandise initial markup 0 ERROR:#DIV/0! estimated expenses price reductions profit initial $ markup 0 planned sales price

Start on cell K3 on the Dice worksheet. Enter the following formula: =COUNTIF($C$3:$H$8,J3). In cell L3, enter the following formula: =K3/36. Complete the

Start on cell K3 on the Dice worksheet. Enter the following formula: =COUNTIF($C$3:$H$8,J3). In cell L3, enter the following formula: =K3/36. Complete the similar formulas for the range K4:L13. (Hint: You could use the drop and drag feature in Excel.) In cell E16, enter the appropriate formula to calculate the

Description College of Health Sciences Department of Public Health Assignment Cover Sheet Course name: ETHICS AND REGULATIONS IN HEALTH Course

Description College of Health Sciences Department of Public Health Assignment Cover Sheet Course name: ETHICS AND REGULATIONS IN HEALTH Course number: PHC 216 CRN 50499 Assignment title or task: 1. What is the purpose of seeking consent from patients? 2. Who should seek consent? Student name: Students Id Number: Submission

Assessment Description The purpose of this project is to become familiar with the credentialing and regulatory processes that govern clinical mental health

Assessment Description The purpose of this project is to become familiar with the credentialing and regulatory processes that govern clinical mental health and school counseling practices. There are three sections to the assignment including understanding the role of the board, how to achieve licensure/certification in your state, and the complaint process

Write three complete sentences in your own words describing three ‘big-picture’ ideas off Art of the Americas before 1300 and African Art before

Write three complete sentences in your own words describing three ‘big-picture’ ideas off Art of the Americas before 1300 and African Art before 1800. Americas before 1300 1. 2. 3. African Art before 1800. 1. 2. 3.

2 Respond to each posts below by offering alternative views on the impact of patient preferences on treatment plans or outcomes, or the potential

2 Respond to each posts below by offering alternative views on the impact of patient preferences on treatment plans or outcomes, or the potential impact of patient decision aids on situations like the one shared. 100-150 words on each post. APA Format 2 references and 2 intext citation Loveth post

Chapter 14: The Casual Furniture Company Read the case in chapter 14 and answer the

Chapter 14: The Casual Furniture Company Read the case in chapter 14 and answer the following questions: 1. Develop the MRP for all of the components. 2. During week 1 of the plan, the bracket supplier notifies CFC that the order for 600 units will not arrive as planned. Instead,

SLP/BUS530 Managerial Economics Consumer Behavior, Production and Cost SLP Assignment Expectations Economic Impacts for Producers This week’s case focused

SLP/BUS530 Managerial Economics Consumer Behavior, Production and Cost SLP Assignment Expectations Economic Impacts for Producers This week’s case focused on the consumer side of economics. Producers must manage more constraints in their decision-making. Session Long Project 2 ResourcesProducer Price Index (PPI) (2022)Purchasing Power (2022)The Market System as an Efficient Mechanism for Information (2022) Business

Our Services

case study Exercise Content 1. Top of Form Week 6 Case Study III Patient With Fatigue EM is a 74-year-old male with a

Share This Post

Related Questions

Use Our 6 Free Tools