CASE STUDY #1

group # 1
 CONTENT

1 2 3 4
Diagnosis Definition of Medical Nursing care
terms plan
SUBJECTIVE DATA:
 Patient Name: Mr. Zach Medz
 Age: 85 Years old
 Gender: Male
 Cheif Complaints:
• Fever for 2 days
• Loss of appetite
• On and off cough for a long duration
• Difficulty of breathing
• Body weakness
• Swelling of lower extremities
• Blister on left leg, possibly an infected wound
HISTORY:
Mr. Zach Medz, an 85-year-old male,
presented with a two-day history of
fever, accompanied by loss of appetite
and a persistent cough that has been
ongoing for an extended period. He also
complains of difficulty breathing, general
body weakness, swelling of his lower
extremities, and a blister on his left leg,
which he suspects might be an infected
wound.
VITAL SIGNS:
• BLOOD PRESSURE: 100/60 MMHG
• TEMPERATURE: 37.5°C
• OXYGEN SATURATION: 97%

• RESPIRATORY RATE: 22 BPM

• CARDIAC RATE: 75 BPM
PHYSICAL
EXAMINATION:
General: The patient appeared weak and
fatigued.
Respiratory: On auscultation, there were
scattered crackles in both lung fields, more
pronounced in the lower lobes.
Cardiovascular: Regular heart rate with no
murmurs or abnormal sounds.
Abdomen: Soft and non-tender.
Extremities: Swelling noted in the lower
extremities, and a blister was observed on the
left leg.
DEFINITION OF TERMS:
• Pneumonia is an infection that inflames the air sacs
in one or both lungs.

• Pneumonia is an infection of the lungs that may be

caused by bacteria, viruses, or fungi. The infection
causes the lungs' air sacs (alveoli) to become
inflamed and fill up with fluid or pus.
DEFINITION OF TERMS:
• Heart Failure also known as congestive
heart failure, is a condition that develops
when your heart doesn't pump enough blood
for your body's needs.
ORGAN AFFECTED:
• Pneumonia is an infection of the lungs that may be caused by
bacteria, viruses, or fungi. The infection causes the lungs' air sacs
(alveoli) to become inflamed and fill up with fluid or pus.

• An acute infection like pneumonia increases the stress on the heart

and can lead to a cardiac event like heart failure, heart attack or
arrhythmias
PART OF HEART THAT AFFECTED OF
PNEUMONIA:
• Infections like pneumonia boost inflammation in the body
– including inside the arteries. Blood can't flow like it
should and is more likely to clot and cause a heart attack
or stroke.
PNEUMONIA TREATMENT:
>Antibiotics may be prescribed for bacterial
pneumonia.
>Antiviral medicine is sometimes prescribed for viral
pneumonia.
>Antifungal medicines are prescribed for fungal
pneumonia.
HEART FAILURE
TREATMENT:
Medicines are the main treatment for heart failure, but
for some people surgery may help.
Operations that can help with heart failure include:
heart valve surgery, a coronary angioplasty or bypass.
HEART FAILURE PREVENTION:

Getting regular Losing excess Eating a Drinking in

exercise weight is healthy diet moderation
strenghthens linked with the has been and quiting
and conditions better associated with smoking is
the heart. cholesterol and cardiovas- imperative.
blood pressure. cular health.
THANK YOU!
MEMBERS:
Aguilar, Ralph Christian
Compana, Lance
Demandante, Nuimarie Faith
Gilua, Harvey
Madera, John Carlo
Pacino, Lorie Jade
Portillo, Alejandrei Steve
Sian, Danica Amorino
Treyes, Charie Mae