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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.