Scenario 1

Scenario 1:

76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and

abdominal swelling. She has a history of congestive heart failure and admits to not taking her

diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now has

to sleep on two pillows in order to get enough air.

In your Case Study Analysis related to the scenario provided, explain the following

· The cardiovascular and cardiopulmonary pathophysiologic processes that result in the

patient presenting these symptoms.

· Any racial/ethnic variables that may impact physiological functioning.

· What is the role of diuretic therapy in managing congestive heart failure symptoms,

and why is it important for this patient to take her diuretic medication regularly?

· What are the consequences of not taking diuretic medication as prescribed in a

patient with congestive heart failure?

· What lifestyle modifications can be recommended to manage fluid retention and

reduce symptoms in congestive heart failure patients?

· How does shortness of breath relate to the pathophysiology of congestive heart

failure, and what are the potential implications for this patient?

· What additional diagnostic tests or assessments may be necessary to evaluate the