Comprehensive Case Study on COPD, Heart Failure, Hypertension, and Diabetes Mellitus

Comprehensive Case Study on COPD, Heart Failure, Hypertension, and Diabetes Mellitus Order Description Comprehensive Case Study on COPD, Heart Failure, Hypertension, and Diabetes Mellitus Review the followin" rel="nofollow">ing case study and complete the questions that follow. For this assignment, write your responses to each question as one narrative rather than separatin" rel="nofollow">ing your responses by question number. Include an in" rel="nofollow">introduction and a conclusion. Submit your answers usin" rel="nofollow">ing APA format, well-written sentences, and detailed explanations. Your analysis must be scientifically sound, necessary, and sufficient. You must also in" rel="nofollow">include a bibliography of at least 3 sources (with at least one non Internet source). Your textbook may not be in" rel="nofollow">included as a source for this assignment. Refer to the rubric for more in" rel="nofollow">information on how your assignment will be graded. Case Study M.K. is a 45-year-old female, measurin" rel="nofollow">ing 5’5” and weighs 225 lbs. M.K. has a history of smokin" rel="nofollow">ing about 22 years along with a poor diet. She has a history of Type II diabetes mellitus along with primary hypertension. M.K. has recently been diagnosed with chronic bronchitis. Her current symptoms in" rel="nofollow">include chronic cough, more severe in" rel="nofollow">in the mornin" rel="nofollow">ings with sputum, light-headedness, distended neck vein" rel="nofollow">ins, excessive peripheral edema, and in" rel="nofollow">increase urin" rel="nofollow">ination at night. Her current medications in" rel="nofollow">include Lotensin" rel="nofollow">in and Lasix for the hypertension along with Glucophage for the Type II diabetes mellitus. The followin" rel="nofollow">ing are lab fin" rel="nofollow">indin" rel="nofollow">ings that are pertin" rel="nofollow">inent to this case: Vitals BP 158/98 mm Hg CBC Hematocrit 57% Glycosylated hemoglobin" rel="nofollow">in (HbA1c) 7.3 % Arterial Blood Gas Assessment PaCO? 52 mm Hg PaO? 48 mm Hg Lipid Panel Cholesterol 242 mg/dL HDL 32 mg/dL LDL 173 mg/dL Triglycerides 1000 mg/dL 1. What clin" rel="nofollow">inical fin" rel="nofollow">indin" rel="nofollow">ings correlate with M.K.’s chronic bronchitis? What type of treatment and recommendations would be appropriate for M.K.’s chronic bronchitis? 2. Which type of heart failure would you suspect with M.K.? Explain" rel="nofollow">in the pathogenesis of how this type of heart failure develops. 3. Accordin" rel="nofollow">ing to the B.P. value, what stage of hypertension is M. K. experiencin" rel="nofollow">ing? Explain" rel="nofollow">in the rationale for her current medications for her hypertension. Also, discuss the impact of this disease in" rel="nofollow">in the U.S. population. 4. Accordin" rel="nofollow">ing to the lipid panel, what other condition is M.K. at risk for? Accordin" rel="nofollow">ing to this case study, what other medications should be given and why? What additional fin" rel="nofollow">indin" rel="nofollow">ings correlate for both hypertension and Type II diabetes mellitus? 5. Interpret the lab value for HbA1c and explain" rel="nofollow">in the rationale for this value in" rel="nofollow">in relation to normal/abnormal body function?