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Assignment Instructions Select one of the two provided case studies addressing the following tasks: Identify one sign or symptom highlighted in the case study and demonstrate your understanding of the underlying pathophysiology responsible for the manifestation. Choose one medication and explain the mechanism of action related to the patient’s current diagnosis. Provide a rationale for why this medication is prescribed and include two side effects in your response. Identify one nursing diagnosis and explain how it could be effectively managed. Review the rubric below carefully while preparing for this presentation and ensure you cover all required aspects. CASE STUDY 1: Michael Trevor, 62 years old, COPD Michael Trevor (Mick) is a 62-year-old male and retired builder who was referred to the Emergency Department (ED) from his General Practitioner (GP) with exacerbation of chronic obstructive pulmonary disease (COPD). Mick was diagnosed with COPD 12 months ago and in the last 6 months has had increasing shortness of breath and fatigue. This past month, Mick has found his breathing has become worse during physical exertion of routine tasks at home, and now this is occurring at rest. He has a history of cardiovascular disease (CVD), heart failure (HF), atrial fibrillation (AF), and osteoarthritis (OA). He tells you he has a 30-year smokers cough which is now producing thick yellow sputum and has been wheezing more at night. Mick has had 3 chest infections over the past year requiring antibiotics and states his shortness of breath is worse than when he had asthma as a young person. Michael is currently prescribed the following medications: â–ª Amlodipine 5mg daily

 
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