-Case study: M.K., 45 year old female, 5’5″, 225lbs. History of smoking for 22 years and poor diet, history of type II diabetes melitis and primary hypertension. Recently diagnosed with chronic bronchitis. Symptoms include severe cough in the mornings with sputum, light-headedness, distended neck vein, escessive peripheral edema, and increase urination at night. current medications include Lotensin and Lasix for hypertension, and Glucophage for the diabetes.
-Lab results are: BP 158/98, hematocrit 57%, HbA1c 7.3%, PaCO2 52mm, PaO2 48mm, cholesterol 242, HDL 32, LDL 173
triglycerides 1000.
-Adress the next questions: 1. Describe the clinical findings that correlate with M.K.’s chronic bronchitis, based on current literature, review the types of treatment and recomendations that would be appropriate for M.K’s chronic bronchitis. 2. describe the type of heart failure would you suspect with M.K., based on current literature review the pathogenesis of how this type of heart failure develops. 3. According to the american heart association 2017 guidelines and M.K. BP, describe the stage of hypertension is she experiencing, based on current literature, review the rationale for her current medications for her hypertension. Also discuss the impact of the disease in he U.S population. 4. According to the lipid panel,
what other condition is M.K. at risk for? What additional findings in the patient correlate with both hypertension and typeII diabetes. 5. Based on current literature, review the significant of the lab value for HbA1c, explain how this value relates to normal/abnormal body function in the patient.
-Incorporate your answers into a single narrative, including an introduction with a well-defined thesis, and a conclusion.
– 3 sources (with one non-internet source)
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