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NRS 410V Module 3 Case Study 1
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NRS-410V Module 3 Case Study 1
Pathophysiology and Nursing Management of Clients Health – Alterations of Hematology and Cardiovascular Systems
Case Study 1
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 .