Patient BP and Heart Rate High Low or Normal Case Study
#1 Following a car accident, the person in this vehicle was rushed to the ER. They are conscious and appear not to be hurt. A portion of their head is swollen and tender to the touch. When you ask the person their name, they look at you as if they don’t understand what you are saying. The patient then looks away as if you never spoke to them. Which lobe of the brain is damaged? Explain your answer and why you came to your conclusion. What else can you do to extract information from this patient? Provide details in your explanation. Name at least (3) diagnostic tests that you would perform on this patient and explain why you would run each test.
#2 Gerald is a recreational cyclist. He enjoys exercising and started to ride his bike because running long distances began to wear on his knees. He started out with a good stride but 15 minutes into the workout, he began to feel alarming pain in his chest. He had to stop because he couldn’t catch his breath. In this image, it shows Gerald trying to catch his breath and attempting to slow down his heart rate. This same incident happened twice before, once while he was swimming and another time when he was playing tennis in the hot sun.
Gerald comes into your office with his complaints and you take his vitals. His BP 150/110 Heart rate 104 ( look up normal vitals). The primary care doctor ask if heart disease runs in his family and Gerald states that his father died of a massive heart attack. Your offer refers Gerald to a cardiologist based on his presentation and his family history.
While at the office of the cardiologist, the following labs were ran: troponin, calcium, magnesium and sodium. All the lab work came back normal so the cardiologist prescribe a beta 1 blocker for Gerald. The doctor instructs Gerald to take one pill everyday for the next 30 days.
After 3 weeks of taking the beta blocker, Gerald is back on his bike and feeling great again.
Answer the following questions:
1) Was his BP and Heart rate high, low or normal?
2) What other problems, besides the heart, can cause chest pain?
3) Why did the primary care doctor ask about the patient’s family history? Explain
4) Do you think the treatment would have been different if the doctor would not have asked about his family history? Explain
5) Why did the doctor refer Gerald to a cardiologist? Explain
6) Why did the cardiologist run the troponin levels? Explain
7) Which ANS division is overactive?
8) Why did the cardiologist prescribe a beta 1 blocker? Explain
9) Do you think the prescription is temporary or Gerald will be on this medication for the rest of his life? Explain
10) What are some other things that Gerald can do to make sure he maintains a healthy heart?
MAKE SURE YOU LISTEN TO THE SUMMARY ON ANS
#3 Body Part Sympathetic response Parasympathetic response
|Salivation ( increase vs decrease)|
|Urination ( increase vs decrease)|
|Defecation ( increase vs decrease)|
|Focusing of eyes|
|Skeletal muscle movement|