BP and Heart Rate High Low or Normal Case Study

BP and Heart Rate High Low or Normal Case Study

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BP and Heart Rate High Low or Normal Case Study

#1 Following a car accident, the person in this vehicle was rushed to the ER. They are

conscious and appear not to be hurt. A portion of their head is swollen and tender to the

touch. When you ask the person their name, they look at you as if they don't understand

what you are saying. The patient then looks away as if you never spoke to them. Which

lobe of the brain is damaged? Explain your answer and why you came to your

conclusion. What else can you do to extract information from this patient? Provide

details in your explanation. Name at least (3) diagnostic tests that you would perform on

this patient and explain why you would run each test.

#2 Gerald is a recreational cyclist. He enjoys exercising and started to ride his bike

because running long distances began to wear on his knees.

He started out with a good

stride but 15 minutes into the workout, he began to feel alarming pain in his chest. He

had to stop because he couldn't catch his breath. In this image, it shows Gerald trying to

catch his breath and attempting to slow down his heart rate.

This same incident

happened twice before, once while he was swimming and another time when he was

playing tennis in the hot sun.

Gerald comes into your office with his complaints and you take his vitals. His BP

150/110 Heart rate 104 ( look up normal vitals).

The primary care doctor ask if heart

disease runs in his family and Gerald states that his father died of a massive heart

attack. Your offer refers Gerald to a cardiologist based on his presentation and his

family history.

While at the office of the cardiologist, the following labs were ran: troponin, calcium,

magnesium and sodium. All the lab work came back normal so the cardiologist

prescribes a beta 1 blocker for Gerald. The doctor instructs Gerald to take one pill every

day for the next 30 days.

After 3 weeks of taking the beta blocker, Gerald is back on his bike and feeling great

again.

Answer the following questions:

1) Was his BP and Heart rate high, low or normal?

2) What other problems, besides the heart, can cause chest pain?

3) Why did the primary care doctor ask about the patient's family history? Explain

4) Do you think the treatment would have been different if the doctor would not have

asked about his family history? Explain

5) Why did the doctor refer Gerald to a cardiologist? Explain

6) Why did the cardiologist run the troponin levels? Explain

7) Which ANS division is overactive?

8) Why did the cardiologist prescribe a beta 1 blocker? Explain

9) Do you think the prescription is temporary or Gerald will be on this medication for the

rest of his life? Explain

10) What are some other things that Gerald can do to make sure he maintains a healthy

heart?

MAKE SURE YOU LISTEN TO THE SUMMARY ON ANS

#3 Body Part Sympathetic Response Parasympathetic response

Pupil dilatio

n

constrictio

n

GI Motility/Digestion

Heart rate

Blood pressure

Salivation ( increase vs

decrease)

Urination ( increase vs

decrease)

Defecation ( increase vs

decrease)

Sleep

Focusing of eyes

Respiratory rate

Skeletal muscle movement

BP and Heart Rate High Low or Normal Case Study

RUBRIC
Excellent Quality 95-100%	Introduction 45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.		Literature Support 91-84  points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.			Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%	40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.		83-76  points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.			52-49  points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%	37-1 points The background and/or significance are missing. No search history information is provided.		75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.			48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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