Question

Ah is a 70-year-old retired construction worker who has experienced lumbosacral pain, nausea, and upset stomach for the past 6 months. he has a history of heart failure, high cholesterol, hypertension (HTN), sleep apnea, and depression. His chronic medical problems have been managed over the years with oral medications: benazepril (Lotensin) 5 mg/day, fluoxetine (Prozac) 40 mg/day, furosemide (Lasix) 20 mg/day, KCl 20 mEq bid, and lovastatin (Mevacor) 40 mg with the evening meal.

A.H. has just been admitted to the hospital for surgical repair of a 6.2-cm abdominal aortic aneurysm (AAA) that is now causing him constant pain. On arrival on your floor, his vital signs are 109/81, 61, 16, and 98.3° F (36.8° C). When you perform your assessment, you find that his apical heart rhythm is regular and his peripheral pulses are strong. His lungs are clear, and he is awake, alert, and oriented. There are no abnormal physical findings; however, he hasn't had a bowel movement for 3 days. His electrolytes, blood chemistries, and clotting studies are within normal range, except his hematocrit is 30.1%, and hemoglobin is 9 g/dL.
A.H. has several common risk factors for AAA, which are evident from his health history. Identify and explain three factors.

Answer 1

-Arterial hypertension

-Age

-Gender

Step-by-step explanation:

The patient's condition: He is a 70-year-old dedicated construction worker. You have low back pain, nausea, and upset stomach in the past 6 months. In addition, he has and has a history of heart failure, high cholesterol, hypertension, apnea, and depression. And finally, he suffers from an abdominal aortic aneurysm.

The patient has come to the hospital for a surgical repair of the 6.2 cm abdominal aortic aneurysm. The work has several common risk factors for abdominal aortic aneurysm and they are as follows:

-Arterial hypertension. Due to increased pressure in the veins and arteries, this increases the risk of an abdominal aortic aneurysm.

-Gender. Abdominal aortic aneurysm is more common in men than in women.

-Age. Abdominal aortic aneurysm generally occurs in people who are older than 65 years.

Answer 2

Risk factors that predispose to the appearance of an AAA child:

HTA high blood pressure, cholesterol and a history of heart failure.

Step-by-step explanation:

AAA pathologies are due to poor blood circulation or demand of the cardiovascular system, this patient's system is being strongly demanded because his heart failure indirectly generates that the major and minor blood circuit is difficult and does not take place as it would have what to bring in a healthy patient. It is proven that patients with heart failure end up causing hypertension, difficulty of venous return, accumulation of cold edema in the extremities, possible accumulations of fluids in the respiratory alveoli (difficulty in breathing as a clinical sign), areas of blood removal where the Circulation becomes slow and swirling and does not advance, encouraging the appearance of AAA. Physiologically, AAA is considered as an enlargement or widening of the aorta, which is the artery supplying the entire abdomen. If it is enlarged and dilates, blood pressure decreases and blood accumulates in this area, thus promoting greater distension. and the lack of irrigation to the named area.