[Solved] Hematopoietic and cardiovascular

Assignment Prompt & Instructions

**Hematopoietic:** **J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.** **Past Medical History (PMH):** **Case Study Questions** 1. **Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.** 2. **Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.** 3. **Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?** 4. **The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.** **In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.** 5. **If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.** 6. **Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.** **Cardiovascular** **Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.** **Case Study Questions** 1. **For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.** 2. **What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?** 3. **Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?** 4. **How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.** 5. **Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.** **Submission Instructions:** – **Include both case studies in your post.** – **Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.**