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Pages:
1 page/≈275 words
Sources:
Check Instructions
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 4.86
Topic:

MI and the Development of Left Ventricular (LV) Failure and Deep Vein Thrombosis (DVT)

Essay Instructions:

Myocardial Infarction
It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format.
Classroom Participation
Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.
All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.
Discussion Question/Prompt [Due Wednesday]
Read the following case study and answer the posed questions:
Mr. T., a 45-year-old black man employed as a midlevel corporate manager, came to the doctor’s office seeking a physical examination. He appeared somewhat overweight. He denied taking any medications or smoking, but admitted drinking alcohol. His father and older brother have hypertension (HTN) and his paternal grandfather experienced a myocardial infarction (MI) and a CVA at a young age. Mr. T. stated, “A year ago at a health fair my cholesterol was tested. I was told later by mail that my cholesterol was 250 and I had to recheck my blood pressure.” His Bp at the time of his examination was 159/94, HR 96, weight 275, height 5’11 in.
Explain the progressive pathophysiologic relationship between an MI and the development of left ventricular (LV) failure. What factors affect the severity of LV failure?
Next, visit http://www(dot)cdc(dot)gov/ncbddd/dvt/facts.html (Links to an external site.) and access resources about deep vein thrombosis.
Document the manifestations and management of clients with deep vein thrombosis.
Submit a summary of some of the things you learned from this video.
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Please review the rubric to ensure that your response meets the criteria.
Estimated time to complete: 2 hours
Discussion Peer/Participation Prompt [Due Sunday]
Look at your course colleagues’ responses.
From your advanced practice mindset reflect on a discussion you would like to have with two of your course colleagues about their responses.
Post a response individually to each of them that expresses your advanced practice nursing role perspective of the data represented in their response.
Use scholarly resources relevant to your advanced practice nursing role to support the key elements of the peer discussions you construct. [For example - if you are a nurse educator (clinical or academic) what are your thoughts about their ability to follow task instructions for constructing the assignment, etc.?; if you a nurse leader what are your thoughts about the success of their application of a process improvement model, etc.?; if you are a nurse practitioner what are your observations about the non-conventional modality presented in the schemata, can you locate any evidence or the foundational basic sciences that support the modality, etc.?
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Please review the rubric to ensure that your response meets the criteria.
Estimated time to complete: 1 hour

Essay Sample Content Preview:

Myocardial Infarction and Left Ventricular Failure
Your Name
Subject and Section
Professor’s Name
Date
1 Explain the progressive pathophysiologic relationship between an MI and the development of left ventricular (LV) failure. What factors affect the severity of LV failure?
Myocardial infarction leads to various disorganization in the heart, such as myocardial stunning, necrosis and ventricular wall rupture and septal wall defect, papillary muscle rupture, and progressive cardiomyocyte death in three hours from the time of ischemia. Due to these, an inflammatory response ensues, increasing the oxidative stress on the heart muscle, leading to an acute contractile dysfunction. During reperfusion, the adverse effects will be enhanced due to the production of reactive oxygen species, ultimately resulting in endothelial injury and microvascular dysfunction in fifty percent of individuals. Three to five days after MI, myocardial repair ensues, resulting in the stimulation of the fibroblasts and scar formation. The renin-angiotensin system is also activated, and these two mechanisms result in pathological remodeling of the heart, particularly the left ventricle (LV). The changes include alteration of the LV shape and diameter, leading to LV dilatation and cardiac systolic and diastolic dysfunction. The chronicity of these mechanisms results in LV heart failure (Cahill & Kharbanda, 2017).
The risk factors that contribute to the increasing severity of LVF are the location and extent of the infarct (i.e., anterior location and delays in the revascularization), female sex, and presence of comorbidities such as diabetes, obesity, and hypertension (Cahill & Kharbanda, 2017; Hajouli & Ludhwani,...
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