Get Answer: Clarence Year Caucasian Question Guide

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Original Question

Clarence, is a 67-year-old Caucasian male, diagnosed with heart failure (HF) approximately 1 year ago, after an acute myocardial infarction. Over the past year, he consistently adhered to his low-salt diet and weighed himself daily. Clarence now presents to the emergency department, accompanied by his daughter. She tells you that when she went to see her dad this morning he was ‘very confused, and weak’. She also reports that her dad has been fatigued and quickly “loses his breath” with any type of activity. She states that he occasionally awakens during the night with what he describes as a “coughing spell.” His daily weight diary indicates he has gained 3-5 pound per week over the last 6 weeks. Vital signs: Temperature 37.2 â—¦C, Pulse 98 beats/min, RR 20 breaths/min, BP 150/100, O2 sat 94% on R/A. Chest x-ray and blood work is ordered. Chest x-ray findings include mild cardiomegaly as well as pulmonary venous congestion. Laboratory data is as follows: Na: 130 mmol/L K+: 3.5 mmol/L Cl: 103 mmol/L Phosphate 1.27mmol/L Calcium 2.36 mmol/L Fasting blood glucose 5.4 mmol/L 1. identify the underlying causes of the priority inference and some potential complications with this inference.

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