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Patho Assignment

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Submitted By jimmyrvii
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Question 1.1
Identify two (2) likely medical diagnoses for his presenting condition. Provide a rationale for your answer including the underlying pathophysiology and presenting clinical symptoms.
1. Congestive Heart Failure, (CHF) occurs when the heart cannot pump sufficient blood to meet the body’s demands where weakened chambers allow blood to pool triggering fluid retention in lungs, legs and abdomen (Figueroa & Peters, 2006). The patient has left sided congestive heart failure where left ventricle is not pumping blood sufficient blood out of the lungs/pulmonary vein sufficiently. The lungs become over saturated with blood and the pressure from the right side causes a shift of fluid from the intravascular space into the lungs causing increased respiratory rate and impaired gas exchange. The patient’s symptoms are shortness of breath and cough, swollen ankles due to the excess fluid build up and fatigue. X-ray shows congestion in the middle and lower lungs. The patient was also taking digoxin on admission which is a drug commonly used for treating patients with CHF (Figueroa & Peters, 2006).
2. Digoxin toxicity, Digoxin toxicity is caused by high levels of digoxin in the body a drug Mr Marshall is currently prescribed. His digoxin levels are 2.4 ng/mL and the therapeutic range is 0.6 to 1.3 ng/mL showing increased levels beyond the therapeutic range (Chan, Bradley & Harrigan, 2002). Mr Marshall’s irregular pulse as well as his nausea and vomiting are clinical symptoms of digoxin toxicity (Ehle, Patel, Chandni & Giugliano, 2011).

Question 1.2
Explain why Mr Marshall is prescribed the following medications in relation to his past medical history. Include in your response the related medical condition, drug action and category.

Digoxin; this medication is prescribed to Mr Marshall to treat atrial fibralation a past condition of the patient.

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