Question

In: Anatomy and Physiology

Jessica is a nurse and works in the Emergency room department at the nearby hospital ....

Jessica is a nurse and works in the Emergency room department at the nearby hospital . On her last shift, a 70 year old man was brought by the EMT with various complaint or symptoms. These included : severe shortness of breath on exertion, and for relief he had needed to sleep on three pillows at night. Jessica with the ER physician did a physical assessment and it was obvious that the man’s ankles, feet and even his fingers were quite swollen. Several tests were done which included an EKG, oximetry, and various blood tests. The man was admitted and diagnosed with Right Side Heart Failure

Put these steps in order BY SELECTING A LETTER and writing it next to each NUMBER below, These steps are related to his symtoms and right side of the heart fails,

1-

2-

3-

4-

5-

6-

7-

8-

STEPS A-H

A. As a result too much blood remains in right pump.

B. Blood stagnates or pools within body organs

C. Consequently, this widespread pooling of fluid impair the ability of body cells to obtain adequate nutrients and oxygen and to rid themselves of wastes.

D Oxygen poor blood returning in Right Atrium/ventricle cannot exit fast enough to Lungs

E. Peripheral Edema occurs.

F.Pooled blood leads to fluid leaking in the tissue spaces.

G. This swelling or congestion will be most noticeable in the extremities (feet, ankles, and fingers

H. Thus, Venae Cavae have difficulty bringing blood within the heart chambers

Expert Solution

The steps are as below.

1. Oxygen poor blood returning in Right Atrium/ventricle cannot exit fast enough to Lungs

2. As a result too much blood remains in right pump.

3. Thus, Venae Cavae have difficulty bringing blood within the heart chambers

4. Blood stagnates or pools within body organs

5. Consequently, this widespread pooling of fluid impair the ability of body cells to obtain adequate nutrients and oxygen and to rid themselves of wastes.

6. Pooled blood leads to fluid leaking in the tissue spaces.

7. Peripheral Edema occurs.

8. This swelling or congestion will be most noticeable in the extremities like feet, ankles, and fingers.

The edema is caused due to the accumulation of fluid in the tissue spaces and in the lymph. This is due to the lack of blood pumping. Here it's due to the right sides heart failure. Due to it more blood will remain in the right side heart making the blood from the organs to be pooled there itself. There are the reason for the swelling in the ankles and fingers.

Sydney Mullin answered 1 year ago

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Jessica is a nurse and works in the Emergency room department at the nearby hospital ....

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