MELI CASE STUDY

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Home>Homework Answsers>Nursing homework helpstatoriginalurgentPLEASE SEE ATTACHED DOCUMENT FOR SEE CONTEXT AND REQUIREMENTS2 PAGESDUE DATE JUNE 12, 202521 days ago12.06.202510Report issuefiles (1)CASESTUDYANDREQUIREMENT.pdfCASESTUDYANDREQUIREMENT.pdfWeek 6 case studyBertha, a 58 – year – old Hispanic female, presents to the primary care clinic to establish care. She states
that in 1985 she received a blood transfusion after sustained an MVA. She had tested positive for hepatitis
C virus ( HCV ) in the past, but ignored any advice regarding treatment options. She brings a previous lab
result with her today that shows :(ALT) level of 85 IU/mL (range 8 – 35 IU/mL). The lab form also states,
“ HCV antibody is positive by enzyme immunoassay — confirmation is suggested. The patient also
arrived with diagnosis with exacerbation of A-Fib (pulse 110 beats per mint. and COPD exacerbation as
well (O2 sat: 87%)Past medical h story: Hypertension, dyslipidemia, hepatitis C.Family history: UnremarkableSocial history: She works as a case manager of an HMO and is married with 2 children. Denies use of
illegal drugs, denies alcohol abuse, and has no tattoos.Medications: HCTZ, 12,5 mg daily; Atorvastatin 20 mg daily, Metoprolol Succinate 25 mg and Pro-Air
HFA 90mcg one puff q 4- 6 hrs as needed x pain.Allergies: No known drug or food allergies.OBJECTIVE General a ppearance: 58 – year – old female; pleasant, in no acute distress; good eye contact.
Vital signs: T: 96.8; P: 110; RR: 23; SaO 2 : 87; BP: 150/100. Her weight is 214 lb, and her height is 6.3
inches.HEENT : Negative. Neck: Thyroid nonpalpable. No lymphadenopathy.Cardiovascular: A-fib rhythm. irregular and rapid heartbeat.Respiratory: Crackles and Wheezing.Abdomen: Mild tenderness in right upper quadrant. BS x 4 no bruits. Nondistended, soft. No
organomegaly. No ascites.Neurological: A & O × 4, CN II – XII grossly intact.Depression scale: negative. Musculoskeletal: Full ROM. No deformities. Muscle strength is 5/5.CRITICAL THINKINGWhich diagnostic or imaging studies should be considered confirm thediagnosis?What is the most likely differential diagnosis?What is your plan of treatment?Are there any emergency referrals needed?What is first line treatment for AFib in patients with the mentioned comorbidities?What is the first line of treatment for COPD exacerbation?REQUIREMENTS2 PAGESNO MORE THAN 10% PLAGIARISM OR STUDENT PAPER SIMILARITY ALLOWEDMUST BE ORIGINAL AND UNIQUE WORK4 REFERENCES SCHOLARLY JOURNALS OR BOOKS NO OLDER THAN 5 YEARS, NO
BOOKS REFERENCESREQUIRED IN-TEXT CITATIONSAPA 7TH EDITION FORMATCHECK YOUR GRAMMAR AND SPELLINGDUE DATE JUNE 12 , 2025 NO LATERDO YOUR BESTMUST BE ORIGINAL EACH WORD IN INDIVIDUALCASESTUDYANDREQUIREMENT.pdfWeek 6 case studyBertha, a 58 – year – old Hispanic female, presents to the primary care clinic to establish care. She states
that in 1985 she received a blood transfusion after sustained an MVA. She had tested positive for hepatitis
C virus ( HCV ) in the past, but ignored any advice regarding treatment options. She brings a previous lab
result with her today that shows :(ALT) level of 85 IU/mL (range 8 – 35 IU/mL). The lab form also states,
“ HCV antibody is positive by enzyme immunoassay — confirmation is suggested. The patient also
arrived with diagnosis with exacerbation of A-Fib (pulse 110 beats per mint. and COPD exacerbation as
well (O2 sat: 87%)Past medical h story: Hypertension, dyslipidemia, hepatitis C.Family history: UnremarkableSocial history: She works as a case manager of an HMO and is married with 2 children. Denies use of
illegal drugs, denies alcohol abuse, and has no tattoos.Medications: HCTZ, 12,5 mg daily; Atorvastatin 20 mg daily, Metoprolol Succinate 25 mg and Pro-Air
HFA 90mcg one puff q 4- 6 hrs as needed x pain.Allergies: No known drug or food allergies.OBJECTIVE General a ppearance: 58 – year – old female; pleasant, in no acute distress; good eye contact.
Vital signs: T: 96.8; P: 110; RR: 23; SaO 2 : 87; BP: 150/100. Her weight is 214 lb, and her height is 6.3
inches.HEENT : Negative. Neck: Thyroid nonpalpable. No lymphadenopathy.Cardiovascular: A-fib rhythm. irregular and rapid heartbeat.Respiratory: Crackles and Wheezing.Abdomen: Mild tenderness in right upper quadrant. BS x 4 no bruits. Nondistended, soft. No
organomegaly. No ascites.Neurological: A & O × 4, CN II – XII grossly intact.Depression scale: negative. Musculoskeletal: Full ROM. No deformities. Muscle strength is 5/5.CRITICAL THINKINGWhich diagnostic or imaging studies should be considered confirm thediagnosis?What is the most likely differential diagnosis?What is your plan of treatment?Are there any emergency referrals needed?What is first line treatment for AFib in patients with the mentioned comorbidities?What is the first line of treatment for COPD exacerbation?REQUIREMENTS2 PAGESNO MORE THAN 10% PLAGIARISM OR STUDENT PAPER SIMILARITY ALLOWEDMUST BE ORIGINAL AND UNIQUE WORK4 REFERENCES SCHOLARLY JOURNALS OR BOOKS NO OLDER THAN 5 YEARS, NO
BOOKS REFERENCESREQUIRED IN-TEXT CITATIONSAPA 7TH EDITION FORMATCHECK YOUR GRAMMAR AND SPELLINGDUE DATE JUNE 12 , 2025 NO LATERDO YOUR BESTMUST BE ORIGINAL EACH WORD IN INDIVIDUALBids(49)Dr. Ellen RMMISS HILLARY A+Dr. Aylin JMProf Double REmily Clarefirstclass tutorMiss DeannaMUSYOKIONES A+Dr ClovergrA+de plusSheryl HoganPROF_ALISTERProWritingGuruDr. Everleigh_JKIsabella HarvardBrilliant GeekWIZARD_KIMAshley EllieLarry Kellyabdul_rehman_Show All Bidsother Questions(10)I have home work on SQL codes and I need help to do it.week 3 discussionsFOR KATETUTOR ONLY ETHICAL DILEmMASSocial Media platforms and your careerField Work – Progress ReportEssayPay here! ThanksHow do repressive regimes interact with civil society, and what impact does that have on citizens?HOMEWORK FOR SOMEONEData Set 19 in Appendix B of the textbook (pg 614) contains data from samples of cola cans

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