Mr Silveria Case Study 2 Heart Failure
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
Mr Silveria, a 47-year-old Brazilian man, was sent to the heart failure clinic for titration of his heart failure therapy by his consultant cardiologist. Due to mitral valve disease, he has severe biventricular failure (NYHA III-1V). His current symptoms include breathlessness with minimal exercise, paroxysmal nocturnal dyspnoea, and a lack of appetite, as well as disorientation with rapid movements. Septic arthritis with mitral endocarditis and septic emboli, mitral valve repair in 2012, and out-of-hospital ventricular fibrillation arrest in 2009 are among his medical history. To treat recurrent ventricular tachycardia, he has an implanted cardioverter defibrillator. Unfortunately, since his imprisonment in 2009, he has suffered from severe short-term memory loss. His girlfriend also mentioned that he had a habit of forgetting to drink adequate water. While she was at work, he only drank 12 glasses of liquids every day. Mr Silveria, on the other hand, has healthy coronary arteries. Lisinopril 2.5mg once daily, aspirin 75mg once daily, furosemide 40mg once daily, and bisoprolol 1.25mg once daily were his medications at the time of the initial appointment.
His findings on clinical examination were within normal limits, including a clean lung field on auscultation and no peripheral oedema. His jugular venous pressure (JVP) was normal, and his renal function and electrocardiogram (ECG) were normal. His systolic blood pressure, however, was only 100/86mmHg.
In summary, his primary concerns were hypotension and memory loss, as well as a depressed mood. Mr Silveria’s strategy was to:b) Increase his medication (up-titration of heart failure treatment) to prevent his existing symptoms from worsening. Mr Silveria’s lisinopril was upped from 2.5mg to 5mg at the first consultation.
d) Assist him in expressing his feelings about his situation and recommend coping methods to assist him cope with his memory loss.
Mr Silveria returned to the clinic for the second consultation with paroxysmal nocturnal dyspnoea. It was established during the assessment that he had stopped taking his furosemide, but neither he nor his girlfriend knew who had told him to stop. The furosemide was restarted.
This case demonstrates the importance of clear communication and documentation among all parties involved in a patient’s treatment. The case was looked into further, and the person in question was informed of the consequences of their conduct.
Mr Silveria was feeling better and more optimistic about his development on his third visit to the clinic. However, his systolic blood pressure had increased to 80mmHg, and his dizziness had not worsened. His prescription was not changed any further, and a follow-up appointment with a specialist cardiologist was scheduled. Mr Silveria was started on spironolactone 25mg od by the consultant since he was still experiencing symptoms (hypertension, dizziness) despite practically ideal treatment with an ACE-inhibitor and a beta-blocker.
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