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Discussion: Cardiovascular Alterations

Discussion: Cardiovascular Alterations

acobsen, R. C., & Gratton, M. C. (2011). A case of unrecognized prehospital anaphylactic shock.Prehospital Emergency Care, 15(1), 61–66.
A Case of Unrecognized Prehospital Anaphylactic Shock by Jacobsen, R. C., & Gratton, M. C., in Prehospital Emergency Care, Vol. 15/Issue 1. Copyright 2011 by Taylor & Francis Inc. Reprinted by permission of Taylor & Francis Inc. via the Copyright Clearance Center.

This article provides information relating to the diagnosis and management of anaphylactic shock. It also explores difficulties encountered when diagnosing uncommon clinical presentations of anaphylactic shock.
Required Media
Review the animations, case studies, and review questions on the evolve textbook support link. http://evolve.elsevier.com/huether
Optional Resources
American Heart Association. (2012). Retrieved from http://www.heart.org/HEARTORG/
Million Hearts. (2012). Retrieved from http://millionhearts.hhs.gov/index.html
National Heart, Lung, and Blood Institute. (2012). Retrieved from http://www.nhlbi.nih.gov/
Discussion: Cardiovascular Alterations
At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.
Consider the following scenario:
A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.
To Prepare
Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.
Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

PLEASE USE PROPER APA FORMAT FOR BOTH REFERENCE AND INTEXT CITATIONS. Use 3 RECENT ARTICLES NOT MORE THAN 5YRS PLEASE.

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