Alterations of Hematology and Cardiovascular Systems

 

In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin.

NRS410V.R.CaseStudy1_Student_02-11-13.docx

Textbook
1. Pathophysiology
Copstead, L. C., & Banasik, J. L. (2012) Pathophysiology (5th ed.). St. Louis, MO: Saunders Elsevier. ISBN: 9781455726509. (Available as eBook)
Review fundamental concepts from chapters 13, 15 and 17.

Read chapters 9, 14, and 18.
For students who are not in the program, use the following file paths to access the text:

http://gcumedia.com/digital-resources/elsevier/2009/pathophysiology_ebook_4e.php

http://evolve.elsevier.com

Electronic Resource
1. Congestive Heart Failure
Read “Congestive Heart Failure,” from the American Heart Association website.

http://www.heart.org/HEARTORG/Conditions/CongenitalHeartDefects/TheImpactofCongenitalHeartDefects/Congestive-Heart-Failure_UCM_307111_Article.jsp

2. Anemia
Read “Anemia,” from the MedlinePlus website. Specifically, read about the diagnosis, symptoms, and treatment plans for anemia, anemia B12 deficiency, anemia of chronic disease, and sickle cell anemia.

http://www.nlm.nih.gov/medlineplus/anemia.html

Case Study 1
Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm
RBC smear showed microcytic and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values were within normal limits.

Question
Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

Sample Solution

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