Case Scenario 1
Cardiogenic shock is a condition in which there is evidence of tissue hypoxia and a reduced cardiac output even when there is enough intravascular volume. The condition follows after heart failure, myocardial infractions, or acute valvular dysfunction, among other conditions (El-Hussein et al., 2017). The cardiogenic shock, which is manifested by systemic pulmonary and venous edema, impaired mentation evident with the patient’s confusion and once in a while fear, and dyspnea evident with the patient’s shortness of breath (El-Hussein et al., 2017). Blood pressure measurement is necessary for cardiogenic shock causes low blood pressure evident with the patient’s BP of 100/60 (El-Hussein et al., 2017; Mayo Clinic, 2017). An ECG is also done to record the heart’s electrical activity since HR is 95 (Mayo Clinic, 2017). A blood test is carried out to check the oxygen percentages in the body of evidence with the patient’s respiratory alkalosis. Cardiogenic shock is mostly unresponsive to treatment but can be managed through careful administration of vasopressor and fluids (El-Hussein et al., 2017). Connecting the patient to a ventilator will help in offering the needed oxygen (Mayo Clinic, 2017). It is important to focus on reducing the damages caused by a lack of oxygen in the vital organs.
Case Scenario 2
The clotting cascade is the process that occurs in the mammalian blood to serve a protective function. It is a process whereby a cascade of enzyme activation events instigated by the serine protease occurs (El-Hussein et al., 2017). Serine protease activates procofactors and proenzymes via proteolysis in the following stage (Smith, Travers, & Morrissey, 2015). These activations result in the triggering of platelets and the polymerization of fibrin that results in a fibrin clot, thus causing the blood to clot (Smith, Travers, & Morrissey, 2015; Chaudhry & Babieker, 2018). The intricate pathway ensures that the body does not lose excess blood when injured and facilitates the rapid healing of the wound (Chaudhry & Babieker, 2018). The relevance of the symptoms described helps in informing the medical practitioner of the possible health issue of the woman. Embolisms are known to cause a warm to the touch feeling, while women who have undergone c-sections are more likely to have an embolism as compared to vaginal births (Chaudhry & Babieker, 2018; El-Hussein et al., 2017). The clotting cascade can be beneficial in preventing excessive loss of blood but also result in the unwanted clots in blood vessels that can be fatal
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References
Chaudhry, R., & Babiker, H. M. (2018). Physiology, Coagulation Pathways. In StatPearls [Internet]. StatPearls Publishing .
El-Hussein, M., T., Power-Kean, K., Zettel, S., Huether, S. E. & McCance, K. L. (2017). Understanding pathophysiology. Elsevier Health Sciences.
Mayo Clinic. (2017). Cardiogenic Shock. Retrieved from https://www.mayoclinic.org/diseases-conditions/cardiogenic-shock/diagnosis-treatment/drc-20366764
Smith, S. A., Travers, R. J., & Morrissey, J. H. (2015). How it all starts: Initiation of the clotting cascade. Critical reviews in biochemistry and molecular biology, 50(4), 326-336 .
