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Though ACS/MI, heart failure, and PAD are three different problems, they are typically a clinical progression of cardiac disease. Use this case study topic to contextualize this clinical reality!
This Case Study Begins with the Following Scenario:
JoAnn Smith is a 72-year-old woman who has a history of myocardial infarction (MI) four years ago and systolic heart failure secondary to ischemic cardiomyopathy with a current ejection fraction (EF) of only 15%. She presents to the emergency department (ED) for shortness of breath (SOB) the past three days. Her shortness of breath has progressed from SOB with activity to becoming SOB at rest.
The last two nights she had to sleep in her recliner chair to rest comfortably upright. She is able to speak only in partial sentences and then has to take a breath when talking to the nurse. She has noted increased swelling in her lower legs and has gained six pounds in the last three days. She is being transferred from the ED to the cardiac step-down where you are the nurse assigned to care for her.
Concepts (in order of emphasis)
- Gas Exchange
- Fluid and Electrolyte Balance
- Clinical Judgment
Three Complementary Bonuses!
- Faculty users guide to successfully implement this active learning tool in your program!
- SBAR template. Use this to add and practice SBAR with this scenario!
- QSEN/concept based questions in Word doc. Integrate concepts and QSEN competencies into this case study! Several questions related to the primary concept and each QSEN category that can be edited to create a supplement for this case study.
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