NRS 410V Module 3 Case Study 1 (761 Words References) NRS 410V Module 3 Case Study 1 (761 Words Referenc

NRS 410V Module 3 Case Study 1 (*****761 Words
References*****)
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Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of
the current golf season, Ms. A has noted increased shortness of breath and low
levels of energy and enthusiasm. These symptoms seem worse during her
menses. Today, while playing in a golf tournament at a high, mountainous course,
she became light-headed and was taken by her golfing partner to the emergency
clinic. The attending physicians notes indicated a temperature of 98 degrees F, an
elevated heart rate and respiratory rate, and low blood pressure. Ms. A states,
Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take
1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation. During the
summer months, while playing golf, she also takes aspirin to avoid stiffness in my
joints.
Laboratory values are as follows: Hemoglobin = 8 g/dl Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm RBC smear showed microcytic and hypochromic
cells Reticulocyte count = 1.5% Other laboratory values were within normal limits.
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