Discussion 1 Cardiovascular Alterations Essay

Discussion 1 Cardiovascular Alterations

Write a description of how you would diagnose and prescribe treatment for the patient in the scenario (see below). Then explain how the factor you selected (ethnicity) might impact the diagnosis and prescription of treatment for that patient.

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References

The book used for this class is stated below. Please, add it in the references. A free PDF version is available for download at www.smtebooks.com. This book should be listed in the reference list.

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Context and explanation

At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare

• Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.
• Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

Discussion 1: Cardiovascular Alterations .

NURS 6501 Advanced Pathophysiology

Cardiovascular Alterations Year after year, children die from undiagnosed cardiovascular diseases. Many times, problems are not found until after the child is deceased. In this week’s discussion, a scenario will be analyzed. A diagnosis and treatment plan will be reviewed and what other patient factors may influence the treatment plan. Scenario To determine the diagnosis or treatment plan for the 16-year-old, the information given must be reviewed. The main assessment finding is a grade II/VI systolic murmur. A murmur is “noise heard over the heart” (McPhee & Hammer, 2014, p.298). A murmur can be systolic or diastolic. Diastolic murmurs occur when the “heart relaxes between beats” (American Heart Association, 2015). Systolic murmurs occur when upon contraction of the heart muscle (American Heart Association, 2015). Murmurs are graded according to how loud they are (“Heart murmurs”, n.d.). Heart murmurs can also be characterized as innocent. Innocent murmurs are common in children and may disappear or reappear (American Heart Association, 2015). Most disappear by adulthood. Pathologic causes of systolic murmurs incl……………….