Cardiovascular Systems

Assignment 2 Endocrine and Cardiovascular Systems Ms. J.S., a 52 yo white female with two children (16 and 14 yo) presents with history of fatigue, weight gain and muscle weakness over past two years. She initially thought it was caused by work stress and busy family life but has also noticed that she bruises more easily than in the past. She also noted purple lines (stretch marks) that you identified as striae. All of the above symptoms have been getting worse. Blood pressure is 170/110, respirations 12/min and some ankle edema (non-pitting) was noted. The limbs seem relatively thin and the trunk thickened, especially between the upper shoulder blades. Diagnosis was made of Cushing disease/syndrome. How could you differentiate between the two? Elevated levels of cortisol has two effects of plasma leading to increased volume: 1) up-regulation of receptors for aldosterone and 2) an increased effectiveness of ADH (either by centrally increasing ADH release or peripherally by increasing the cellular responsiveness). 1). What effects would these two changes (increased responsiveness to aldosterone and ADH) have on Na+, K+ and water levels in the plasma? (Endocrine Mod 3: MO2, MO3, CO2, CO3, CO4) 2). Where does cortisol secretion occur, and thus is a potential site of an over-secreting tumor? How else could someone develop Cushing syndrome if not by a tumor in that area? (Endocrine Mod 3: MO1, MO2, MO3, CO1, CO2, CO3, CO4, CO5) 3). What is the most common cause of Cushing syndrome in the United States? (Endocrine Mod 3: MO1, MO2, MO3, CO1, CO2, CO3, CO4, CO5) A. Adrenal tumors C. Infections B. Pituitary tumors D. Glucocorticoids prescribed by healthcare worker Mr. M.S., an overweight, 55 yo white male presents to your clinic with chest pains. He has a history of hypertension, alcohol use and does not restrict his diet. He is currently taking nitroglycerin tablets as needed for angina. This pain is worse and is not controlled by nitroglycerin. The pain is radiating down his left arm. The pain in the chest feels like pressure or heartburn. You hear inspiratory rales, consistent with pulmonary edema. His blood pressure is 100/75. He begins to have difficulty breathing, especially when lying down. EKG and serum enzymes suggest a left ventricular wall myocardial infarction. Cardiac catheterization reveals a pulmonary wedge pressure of 30 mm Hg (normal, 5 mm Hg) and two-dimensional echocardiography measured an ejection fraction of 0.35 (normal, 0.55). In the Coronary ICU, he was treated with thrombolytic agents (tPA), digitalis (a positive inotropic agent) and furosemide (Lasix, a loop diuretic) 4). What measures above helped you determine that the stroke volume (considering the measures that factor into it) was reduced? (Cardiovascular Alterations Mod 5: MO7, MO9, MO10, MO12, MO17, CO2, CO3, CO4, CO5) 5). Describe the mechanism of how digitalis (AKA Oubain) works at a molecular level to increase contractility (positive inotrope)? Discuss the ion gradients, how they were created/maintained for a cell at resting membrane potential and the effects of this drug that lead to its action (rise in what ion and where) on muscle contraction. (Cardiovascular Structure and Function Mod4: MO2, MO6, MO7, MO9, MO11, CO1, CO2, CO3) 6). Statins are commonly used to treat cardiovascular disease. Describe their effect and the mechanism of how that effect is brought about. Explain if men and women with similar cholesterol profiles are at similar risk for cardiovascular disease (i.e. are they equally predictive of cardiovascular risk for men and women). Supply a link to an article that supports your assertion and in a sentence or two, describe the “take home point(s)” of the article (Cardiovascular Structure and Function Mod 5: MO1, MO5, MO7, MO8, MO9 CO1, CO2, CO3) 7). Supply one link/web address/citation to an article (different from above article) that describes differences in either gender or race in the treatment or assessment of risk for cardiovascular disease and a statement of how that information will affect your assessment/treatment of patients in practice.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Assignments ABC
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 10k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Nursing
Excellent. Thank you.
Customer 452487, August 26th, 2021
Healthcare Writing & Communications
Perfect! Thank you for also remembering to highlight the necessary words. Appreciate all of your help and hard work!
Customer 452483, November 7th, 2021
English 101
Perfect! Thank you so much for all of your hard work and help! Appreciate it!!
Customer 452483, August 30th, 2021
Nursing
Excellent job! super recommended.
Customer 452487, August 24th, 2021
Microbiology
Perfect! Thank you guys for all of your great help! :)
Customer 452483, August 23rd, 2021
Nursing
Excellent!!! Thank you.
Customer 452487, September 13th, 2021
Introduction to Sociology
Thank you very much for all of your hard work!
Customer 452483, October 15th, 2021
Nursing
Good job. Thank you
Customer 452487, September 16th, 2021
Nursing
Excellent writing !! Definitely I will use your services again... Thank you.
Customer 452487, August 22nd, 2021
Psychology
Thank you so much for all of your hard work, appreciate every bit of it!
Customer 452483, September 6th, 2021
Psychology
On point! Appreciate all the hard work!!
Customer 452483, August 16th, 2021
Biology (and other Life Sciences)
Power Point Presentation was great, appreciate all of your hard work. Thank you!
Customer 452483, August 9th, 2021
1159
Customer reviews in total
96%
Current satisfaction rate
2 pages
Average paper length
47%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon ABC15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Open chat
Chat with us Live Here
Get in Touch with Our Live Chat Agents via WhatsApp on +1(346) 416-0954. Get Unlimited Access to Answers on Any Queries With Your Paper.