Week 6 Assignment: Comprehensive Case Study on COPD, Heart Failure, Hypertension, and Diabetes Mellitus
Case Study
M.K. is a 45-year-old female, measuring 5’5” and weighs 225 lbs. M.K. has a history of smoking about 22 years along with a poor diet. She has a history of Type II diabetes mellitus along with primary hypertension. M.K. has recently been diagnosed with chronic bronchitis. Her current symptoms include chronic cough, more severe in the mornings with sputum, light-headedness, distended neck veins, excessive peripheral edema, and increase urination at night. Her current medications include Lotensin and Lasix for the hypertension along with Glucophage for the Type II diabetes mellitus.
The following are lab findings that are pertinent to this case:
PathDE.JPG
As you develop your case study, be certain to address the following issues as they relate to common comorbidities observed in patients.
Describe the clinical findings that correlate with M.K.’s chronic bronchitis. Based on current literature, review the types of treatment and recommendations that would be appropriate for M.K.’s chronic bronchitis?
Describe the type of heart failure would you suspect with M.K. Based on current literature, review the pathogenesis of how this type of heart failure develops.
According to the American Heart Association 2017 new guidelines, and M.K.’s B.P. value, describe the stage of hypertension is she experiencing. Based on current literature, review the rationale for her current medications for her hypertension. Also, discuss the impact of this disease in the U.S. population.
According to the lipid panel, what other condition is M.K. at risk for? Based on current literature, review what other medications should be given and explain why. What additional findings in the patient correlate with both hypertension and Type II diabetes mellitus.
Based on current literature, review the significant of the lab value for HbA1c. Explain how this value relates to normal/abnormal body function in the patient.
