NRS 410V Module 3 Case Study 1 Ms. A NRS 410V Module 3 Case Study 1 Ms. A

NRS 410V Module 3 Case Study 1 Ms. A
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NRS 410V Module 3 Case Study 1 - Ms. A
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 physician’s 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.