NU606 Advanced Pathophysiology 4-11

NU606 Advanced Pathophysiology 4-11

NU606 Advanced Pathophysiology

Week 4 Assignment

Blood Dyscrasias Crossword Puzzle

Instructions

Solve all the clues in this Crossword Puzzle (PDF) by printing it out, filling it out, and scanning/uploading your completed crossword puzzle. Alternatively, you may simply list each numbered clue and the correct answer in a separate document.

Please refer to the Grading Rubric for details on how this activity will be graded.

NU606 Advanced Pathophysiology

Week 5 Assignment

Myocardial Infarction Case Study

Instructions

Case Study: Myocardial Infarction

Ms. X., aged 55 years, has been complaining of severe fatigue and “indigestion.” Her son is quite concerned and decides to take her to the emergency department. On arrival she appears very anxious, and her facial skin is cool and clammy; her blood pressure is 90/60, and the pulse is around 90, weak, and irregular. She is given oxygen, an intravenous line is opened, and leads for ECG are attached. Blood is taken for determination of serum enzymes and electrolytes. Tentative diagnosis is myocardial infarction involving the left ventricle. Her son provides information that indicates Ms. X is a long-time smoker, has a stressful job as a high school teacher, is recently separated after 20 years of marriage, and is fearful of losing the family home. She has also seemed to be more fatigued and stopped going to the gym about 18 months ago. She has begun to rely on “fast foods” like pizza and fried chicken and cooks infrequently. Her father had died of a heart attack at age 50. She had also noticed more fatigue and intermittent leg pain when walking or climbing stairs at work. Generalized atherosclerosis is suspected.

List the high-risk factors for atherosclerosis in this patient’s history.

Describe how atherosclerosis causes myocardial infarction.

It is suspected that the indigestion reported in the history was really angina. Explain how this pain may have occurred.

Explain each of the admitting signs.

What is “atypical” in Ms. X’s symptoms? How does this affect treatment and prognosis?

What information do serum enzyme and electrolyte levels provide?

What purpose does the ECG serve? It is determined that Ms. X. has a large infarct in the anterior left ventricle.

Ms. X. is showing increasing PVCs on the ECG. State the cause and describe the effect if these continue to increase in frequency.

On day 6 after admission Ms. X is preparing to go home with her son and they receive instructions on lifestyle modifications that are desirable if Ms. X is to avoid another MI. What measures should be included in such a discussion?

Discuss how stress could have played a factor in Ms. X’s MI and her future post discharge.

Ms. X’s condition becomes less stable and she remains in the hospital. On the seventh day following admission, she is found unconscious on the floor of her bathroom. Her pulse is weak and elevated, and her skin is moist with pallor evident. Her BP is 50 systolic. A diagnosis of cardiogenic shock is made, and resuscitation efforts are started.

Explain why Ms. X. has experienced cardiogenic shock at this time.

Describe the effects of cardiogenic shock on the organs of the body.

What problems will occur if decompensated shock occurs? How is compensation limited in this situation?

Ms. X dies shortly later. What is the cause of death in this case?

 

NU606 Advanced Pathophysiology

Week 6 Assignment

Vaccination Reflection Paper

With flu season or should we say flu vaccination season in mind, take a look at the CDC’s Predictions and Recommendations for the current flu season. The CDC’s advisory committee has posted their endorsement – Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices – United States, XXXX Influenza Season. This is usually posted as a Morbidity and Mortality Weekly Report in August for the upcoming flu season.

View the 2018-2019 Season Report as an example with a detailed look at who should be vaccinated, the timetable for vaccinations and what we should expect for the 2018-2019 season. Please make sure that, as data is published, you are viewing the most recent Influenza Season Report as your exemplar.

Considering what you have learned from Chapter 13: Respiratory System Disorders, your experience as a nurse, and from the CDC reading links, how would you recommend that Nurse Practitioners address patient concerns about being vaccinated, the risk of the flu and high-risk populations, and what tips or warnings you would recommend they give their patients for the current flu season? The paper submission should be 500-750 words in length and in APA format.

 

NU606 Advanced Pathophysiology

Week 7 Assignment

Differential Case Study

Instructions

Read the patient case studies below. List 3 differential diagnosis for each and why you believe these to be solid options that should be considered by the provider. Copy and paste the patient scenarios into a word document and use bullet points below each patient for your differential diagnosis, and then upload the assignment. Below is an example.

Patient X: 7-year-old Hispanic male with a cough and temperature of 99.9F

Differential Dx:

Allergic rhinitis

URI

Pneumonia

Patients

Patient 1: 28-year-old woman with opioid use disorder; uses IV heroin; has PTSD; no other medical problems or medications. She currently is single, lives with several roommates, and has a history of legal problems (with some jail time). Sexually active with men and women; inconsistent use of protection.

Patient 2: 70-year-old man with a history of CHF, COPD, and HTN; currently smokes one pack of cigarettes daily; takes Lisinopril, Digoxin, and Symbicort daily. Married to wife of 30 years and is retired (previously an accountant), is supported by adult children, and lives with his wife at home.

Patient 3: 40-year-old woman with a history of breast cancer that was successfully treated with Tamoxifen for several months. Otherwise healthy, with no other issues at this time. She is a successful businesswoman in a high-profile career with much stress. Married to wife of four years; relationship is rocky at times. Denies any substance use; travels frequently.

Symptoms are the same for all 3 patients:

Shortness of breath

Chest pain

Flank pain

Fever

NU606 Advanced Pathophysiology

Week 9 Assignment

Sexually Transmitted Diseases Case Study

Choose one of the following topics:

Genital Herpes

Chlamydia

Gonorrhea

HPV

Syphilis

Trichomoniasis

PID

This entry should be a 500-750 word description of the topic. The assignment should present a description of the topic with a purpose statement. Review the pathophysiology of the disorder, symptoms, diagnosis, and treatment plan per current guidelines. Review Healthy People 2020 and standard preventative guidelines regarding screening for STDs and research the possibility of drug-resistant strains within your state/region.

NU606 Advanced Pathophysiology

Week 10 Assignment

Differential Case Study

For this assignment, you will choose one of the following four patient scenarios. Using your knowledge of pathophysiology and research, you will need to present a differential of three disorders that could account for your patient’s symptoms. This will be uploaded for the whole group.

Patient 1: 35-year-old man with a history of anxiety,chronic marijuana use, and chronic back pain. No current medications or other history, but he has been consistently complaining of back pain since joining the Thursday night league volleyball team. Single, lives alone, and works at a fast food restaurant. Heterosexual and consistent use of protection (barrier).

Patient 2: 12-year-old male with no past medical history, developmentally normal, and has recently been bullied at school – although he hasn’t told anyone. Immunizations are up to date. Likes to play lacrosse and is normally very active, but over the summer he has put on 15 pounds. His mother has noticed that he is drinking a lot of water and is up and down all night going to the bathroom. One younger sister with no issues. Currently raised by mother; father not regularly involved in care.

Patient 3: 15-year-old female, never smoked or used any illicit substances; well supported by her sister and brother, but her parents “don’t understand” her. She lives just a few blocks from school and usually walks. She tells the counselor she just doesn’t feel herself and thinks that “God made a mistake.” The counselor notices that she seems especially thin and is concerned, but the student states that she is “just trying to get her breasts to go away.”

Patient 4: 18-year old male. He is the “life of the party” and has a consistent history of drinking every weekend. He loves to play basketball and is a point guard and team captain. His girlfriend is the head cheerleader. He hasn’t been going out as much as usual on the weekends, and pretty much goes to school, practice and games, then home and to bed. His younger brother is a freshman and they are both on the varsity team this year. He gave his younger brother his good-luck jersey for Friday night’s game. He seems nervous when he’s awake and his girlfriend is concerned because he’s talking to himself a lot. She also mentions that he had been really angry for the past couple of months and now he’s not happy or sad.

To complete your assignment:

Choose one patient scenario.

Offer three differential diagnoses for what might be troubling your patient.

Provide rationale with citations for each of your differential diagnoses.

What would be your first course of action for your patient?

What safety issues, if any, did you recognize for your patient?

Summarize the scenario and what you chose as your final diagnosis for your patient and why.

Make sure that you address psychosocial issues/concerns/contributors, along with content related to substance abuse, should this be appropriate.

This assignment should take no more than 1–2 pages, not including your title and reference pages.

NU606 Advanced Pathophysiology

Week 11 Assignment

Diabetes Case Study

Choose one of the following case studies from Chapter 16 for your entry:

Case Study A: Diabetes Mellitus Type I

Case Study B: Diabetes Mellitus Type II

Review the case study and answer all the questions posed in the study. Your introductory paragraph should provide a summary of the case and the purpose statement. Remember to provide a citation for each answer. Also note, the case studies do not directly address nutrition and dietary restrictions in DM; however, make sure that you address not only dietary restrictions, but also how diet plays an active role in both the development of the disease and treatment success.

Reflect on your experience with a patient who had Diabetes Mellitus Type I or II. Discuss your knowledge of physiology compared to pathophysiology relating to this disorder and how equipped you felt to care for this patient. After this week’s study, what piece of advice or pearl of information have you learned?

Please refer to the Grading Rubric for details on how this activity will be graded. Remember that despite answering questions relating to only one type of Diabetes Mellitus, students must have a strong understanding of both types of DM as well as a working knowledge of prevention, diagnosis, and treatment.