Acute B Clinical Reasoning Case Study - Desklib

ACUTE B CLINICAL
REASONING CASE STUDY

TABLE OF CONTENTS
REFERENCES................................................................................................................................7

Question 1 In the case of Mrs. Donna Hovey, according to her weight and height
which is 95 kg and 158 cm respectively, her BMI is calculated to be
38.1. When BMI becomes above 30.0 then the person is considered to
be obese. This can be evaluated that when the person is obese, this can
lead to building up of fatty material in the arteries which are the blood
vessels which carry blood to the organs. If in case, the arteries which
perform the function of carrying blood to the heart gets damaged or
clogged then this can result in heart attack. Obesity is considered as the
leading cause of heart related diseases (Stepinska and et.al., 2020). This
is because cholesterol plaque build-up happens in the obese people in
the arteries of the heart. Obesity as well as over-weight is mostly related
to the hypertension and enlargement of left ventricle. This increases the
risk for heart failure. High blood cholesterol, high blood pressure and
smoking are considered as the major risk factors for the heart diseases.
Similar happened in the case of Mrs. Hovey which is why she was
suffering from chest pain.
Question 2 (a) Glyceryl Trinitrate (GTN) helps in reducing vascular resistance as it is a
vasolidating agent. The main principle of this is relaxing the vascular
smooth muscle. This also helps in producing dilation of both arterial
and venous beds. This temporarily relaxes the smoothest muscles
including the ones which are found in the blood vessels walls in the
heart (Tan and et.al., 2020). This also helps in reducing the strain on the
heart by making it easier in pumping blood. This basically helps in
preventing and treating chest pain associated with angina.
Question 2(b) There are various side effects of glyceryl Trinitrate (GTN)including
headache, dizziness, weakness or fainting or light-headedness, rapid
heartbeat, redness of skin or flushing, nausea and vomiting, temporary
headaches after taking dose of medicine (Challoumas and et.al., 2019).
Question 2 (c) The nurses have various responsibilities which can help in reducing the
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