The case study discussed the case of a 52-year-old female of normal height and obese in weight. She had come with a medical history of diabetes mellitus, coronary artery disease, hypertension, acute renal failure, chronic obstructive pulmonary disease and patent ductus arteriosus (Case Study 2, n.d). She also had a family history of the problems she was suffering with. Ideally, she should have been on the transplant list but due to lack of social support, she was denied getting on the list. The proper course of treatment was taking her step by step as the first step was to deal with the heart trouble she was suffering from. The treatment of the pulmonary hypertension was crucial. The MICU treated her for pulmonary hypertension, and she remained strained and lethargic (Case Study 2, n.d). Simultaneously her renal function failed, and she failed to be a candidate for a transplant. Apparently the patient denied any feeling of distress or tightness in the chest however she was suffering from a myriad of problems which included peptic ulcer, esophageal reflux, coronary artery disease and pulmonary hypertension, renal failure and respiratory failure, fever and septic shock and pulmonary edema. She had to be intubated for restoring proper oxygen flow. The correct diagnosis was Eisenmenger’s Syndrome where the first indication was the cyanosis and pulmonary hypertension accompanied with the increased RBC count (Mayo Clinic, 2016). The shunting in the heart due to increased pressure from the left side causes more blood flow from the heart to the lungs which results in pulmonary hypertension. The cyanosis is the true indication of the patient having Eisenmenger’s Syndrome (Stanford, 2016).
Without an option for the transplant, the patient will have to survive on medication and drugs and dialysis for the kidney failure. The ulcers and pancreatic problems accompanying the condition are treatable. Insulin regulation is also manageable. The respiratory function can be restored by curing the infection and instilling bed exercises to help with better blood flow and lung function.
Work Cited
Mayo Clinic. (2016). “Eisenmenger’s Syndrome.” Retrieved from
http://www.mayoclinic.org/diseases-conditions/eisenmenger-syndrome/home/ovc-20177618
Stanford. (2016). “Eisenmenger’s Syndrome.” Retrieved from
http://www.stanfordchildrens.org/en/topic/default?id=eisenmengers-syndrome-90-P08482
