I need help to connect my pathophysiology for my case presentation. Thankyou

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Hello I'm a graduating nursing student and I need help connecting my pathophysiology since my patient had pneumonia it turned out that she had CAD-NSTEMI I need help in tracing how did that happened. Thankyou in advance

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Specializes in Nephrology, Cardiology, ER, ICU.

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which came first? was it HAP or CAP? If pneumonia first=> decreased oxygenation and increased WOB => increased heart workload to support additional energy needed for pulmonary perfusion and ventilation (AMU) => inadequate perfusion in heart that has CAD. leads to ischemia and infarct. tada, NSTEMI.

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Rhd came first then CHF then pneumonia

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which came first? was it HAP or CAP? If pneumonia first=> decreased oxygenation and increased WOB => increased heart workload to support additional energy needed for pulmonary perfusion and ventilation (AMU) => inadequate perfusion in heart that has CAD. leads to ischemia and infarct. tada, NSTEMI.

I have to go into details Thankyou so much

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Specializes in Stepdown . Telemetry.

They aren't necessarily related from a patho standpoint. Whether diagnosed or not the pt already had CAD -- you dont develop this in a hospital stay. So they probably had developed acute resp failure -- came in for PNA, then in doing a cardiac workup they were found to have ischemia/CAD.

Look at the pathos separate -- alot of things put someone at risk for PNA. Will often bring them in and other findings arise. Like NSTEMI.

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She is s/p RHD and CHF so CAD is from chf now my problem is how do I connect CHF down to CAP-HR

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Specializes in SICU, trauma, neuro.

This is impossible to answer without the pt's full history -- if the two are even connected. Not that we should be providing the detailed answer you seek; you research and then make your own detailed response.

Southpaw's scenario is plausible. It is also plausible that one pt has two unrelated diagnoses. Say a pt has the medical diagnoses of DM and depression. The depression *could* be exacerbated by the things people with DM go through -- or it could be due to losing their entire family in a car crash, or due to hormonal changes such as postpartum, straight-up chemical imbalance of unknown etiology, etc.

In your case it's pneumonia and NSTEMI. Again, we can't say specifically "how that happened" based on those facts alone.

Could your clinical instructor help you maybe? I'm assuming that s/he is actually familiar with this pt.

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I already got it, thanks

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