Year Male With Question & Answer Guide (With Explanation)
Students often encounter this when studying fundamental concepts.
What This Question Is About
This question relates to year male with and requires a structured academic response.
How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
This topic involves year male with. A strong answer should include explanation, application, and examples.
Original Question
(5 pts) J.W. is a 74-year old male with hypertension, heart failure with reduced ejection fraction (HFrEF), type 2 diabetes, benign prostatic hypertrophy (BPH), and osteoarthritis of bilateral hips. Current medications: Lisinopril Furosemide Tamsulosin Metformin Acetaminophen Physical therapy: J.W. is treated in an outpatient clinic for gait training and strength training following hospitalization for a recent exacerbation of heart failure. Start of session – seated vitals BP: 108/70 mmHg HR: 76 bpm SpO2: 96% on room air After five minutes of standing strength exercise Symptoms: Blurry vision, dizziness BP: 84/56 mmHg HR: 93 bpm SpO2: 97% on room air The patient is seated, and the symptoms resolve after 2-3 minutes. Describe the use of each medication in this patient’s condition. Identify the source of your information. What type of anti-hypertensive medication is Lisinopril (Example ACE inhibitor, ARB, beta-blocker, etc…)? Which combination of medications are most likely contributing to this patient’s decrease in blood pressure? What should the physical therapist do NEXT (activate the emergency response system/Call 911 or contact the patient’s physician)? Justify your answer. (6 pts) In the “Jimsonweed” Discover article, the physicians debated as to whether the patient had taken large quantities of a drug that can directly or indirectly stimulate the sympathetic nervous system (cocaine, over-the-counter cold medicines) or a drug that can directly inhibit the parasympathetic system (atropine or some antidepressants). Why, in general, do sympathomimetic and anticholinergic agents cause similar symptoms? List at least three symptoms that may be caused by both sympathomimetic and anticholinergic drugs. What is one specific symptom that differs dramatically between them that allows differential diagnosis, and why does this one symptom differ between them? (5 pts) A physical therapist reviews a patient’s medical record prior to beginning treatment. The record indicates the patient is a 68-year-old asthmatic man with complaints of difficulty urinating. The last physical examination indicated blood pressure of 160/100 mmHg and an enlarged prostate. Using Table 6-2 in your textbook, what one medication could be used to treat more than one issue in this patient and why? Name two other types of high blood pressure medications that should not be used due to existing contraindications in this patient. Briefly explain your answers. (6 pts) A.B. is a 46-year-old man who has a painful right wrist. He reports tripping over a rock while training for a marathon and landing on his outstretched arm. He has only 6 weeks left to train and does not want any lingering injuries to impede his performance. Medical History: A.B. has a history of hypertension for which he has been taking propranolol and hydrochlorothiazide, and over the last 2 days, he has been Tylenol for wrist pain. He denies having any other illness or musculoskeletal problem. While performing the examination, the patient appears to be experiencing some cramping in his lower extremities. When you ask him about this, he states that he just ran 8 miles to your clinic. You also notice that his clothes are dry, despite the high heat and humidity outside. You continue with the examination. Vital Signs: Blood pressure, 90/60 mm Hg; resting pulse, 100 bpm Wrist: Mild edema on the dorsum of the right hand with limited active and passive range of motion. Strength testing shows weakness and pain in the right hand but also a grade 4/5 for biceps, triceps, wrist flexors, and extensors. Grip strength measures 25 lb on the right and 40 lb on the left. The patient continues to show evidence of mild cramping, and after further questioning, the patient reports feeling weak. You are very concerned and decide to call for an ambulance. Labs: Results of tests on blood drawn from the patient are as follows: sodium concentration, 122 mEq/L Normal range 133-144 mEq/L potassium concentration, 2.5 mEq/L Normal range 3.5-5.0 mEq/L hemoglobin level, 16 g/dL Normal range 13.4-15 creatinine, 1.1 mg/100 mL Normal range 0.8-1.3 mg/dL blood urea nitrogen (BUN), 36 mg/dL Normal range 6-24 mg/dL glucose level, 100 mg/mL Normal range 65-110 mg/dL Urinalysis: Positive for protein; a high specific gravity What is A.B.’s primary problem? As is often the case with patients, multiple factors may have opposing effects on vital signs and/or lab values (with one factor pushing values up while another is driving the same values down). Explain two instances where this could be happening with A.B. and what you hypothesize you believe to be the case given the measured value. Why might ACE Inhibitors or Angiotensin II Receptor antagonists/blockers (ARBs) a better option to treat hypertension in this patient? (3 pts) A physical therapist is scheduled to examine a patient in a home health setting. The patient’s diagnosis is “congestive heart failure.” How would this physical therapist know if the patient’s heart failure is left-sided, right-sided, or both?
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."
