Question 1
A According to the previous report of Fred and based on his medical history as he has
hypertension, hypercholesterolemia, diabetes mellitus, GORD, atrial fibrillation, and a
cholecystectomy. These all are the disease that he had five years ago ("Ponatinib", 2019).
Based on the current situation of Fred and his medical condition as he has weakness in his
left hand and the left side of the body and he was unable to speak properly from that side.
After the discharge from the rehabilitation environment and during the discharge he is still
facing the problem in the left section. Also, he has weakness in his left arm and the vision of
his eyes are blurred is resolved but some type of residual dysphasia is still there in his body.
Based on his medicine as he is taking the highest level of dose of simvastatin 40 mg PO daily
("Iobenguane", 2017).
B According to his medical reports and the medical condition, this has been very clear that he
has issues of the CVA and this is known as the cerebrovascular accident which is known as
the stroke in medical terms. Also, it stops the blood flow from the blood vessels and the
blockage the rupture of a blood vessel. This is also, an important sign to watch out before the
medical condition of the person is went out of the hands of the person ("Iobenguane", 2017).
C According to the pathophysiological perspective, this has been very clear that he is leading to
the stage of the CVA because he has symptoms related to this disease and his medical
condition right now as he discharges from the hospital he still has weakness in the left side of
the arm and this will leads to a high level of the CVA stage in which he has the blockage in
his blood vessel and the blood flow will stop in the one side of the body and because of this,
there might be chances his brain stops working too (Gareeva et al., 2017). Two types of
CVA happen in the human body according to medical science and based on the medical
condition of Fred this has been very clear that he has the symptoms of having ischemic
strokes this stroke cause the blood clot in the blood vessels of the human body and block the
blood flows from the blood vessels to the brain.
Fred has weakness in his left side of the body arm after discharge from the rehabilitation this
means clear that the blood clot in his blood vessels is high and there might be chances that he
has an ischemic stroke in his body (Gareeva et al., 2017).
D According to Fred's condition and his past disease that he had five years ago which include
diabetes and hyperlipidemia, hypertension, and atrial fibrillation. These all are the diseases
that lead towards the CVA ischemic stage that causes the blood clot in the human body and
stops the blood flow in the left side of the body (Indriastuti & Harun, 2020).
Pathogenesis has explained the reason behind the CVA and the causes of CVA in the human
body according to the research this has been very clear that CVA leads to heart failure and
heart attack in the human body this means most of the cases in the CVA is include the person
medical condition or they has asthma because asthma is the disease in which human faces
issues while breathing and they feel pressure on their heart. Also, another reason for having
or leading towards the CVA ischemic stage is because of the microvascular damage in the
diabetic heart that may lead to myocardial injury and damage the blood vessels of the human
body.
Question 2
According to the condition and the health report of Fred explain there are two risk factors
available in Fred's health condition and this explains there are the chances of the risk
appearance from modifiable and non – modifiable. This has been very clear that there is a
risk factor on the second most level in the human body and that is a heart attack or this is the
risk factor of the heart stroke.
Non-modifiable – this risk factor is the cardiovascular disease of risk factors that can not be
changed and this risk factor include the person's past life, family background, and family
history of the disease. In this, the diseases can not be resolved in the human body and heart
stroke increases the amount or the percentage of having a heart attack in the human body
(Indriastuti & Harun, 2020).
Modifiable – the modifiable risk is the risk that happens or occurs and this shows that
hypertension is the commonest modifiable risk factor and this disease will be lead to the
CVA by diabetes mellitus, smoking, and obesity is the disease that leads to this level of the
risk factor (Hontsariuk et al., 2019).
Question 3
The sign and symptoms of the CVA include the changes in the human body and there are the
signs and the symptoms in the human body of having the CVA and the disease that cause the
CVA is the pain in the one portion of the human body and the body parts. The stroke
happened to develop the colt in the blood vessel and these blockages lead to damaging the
brain function of the human body.
A The first symptom of having the CVA is weakness in the human body also, the person feels
numbness and fleeing of their body parts stop working time to time. The person is unable to
move their body parts and they do not feel senses in their body. This is the first sign of having
the CVA in the human body and this will lead to heatstroke in the human. The person having
issues in the moment of the human body and their parts is having an issue at the moment and
while working these are the important things for a person if they having issue in developing
their work process.
B Another sign of having the CVA and implementing the cerebrovascular accident in the
human body is the procedures because the signs describe the person having the symptoms of
CVA and they have started their medical procedures and the medical process to improve the
medical condition and resolve the issue of the medical health (Hontsariuk et al., 2019).
Another symptom of having the medical condition in bad stage or they have facing issues in
walking and talking also, as they see the blur vision in their eyes from the left side and this
will affect on their working and their body stops responding. These are the diseases that can
make a person as a statute and he needs the support to do moment in their body. This will
block the movement in the human and stop the procedures of the blood circulation between
the body and throughout the body from brains to tiptoe. These are the issues that are faced by
humans and the person like Fred having issues in walking and doing other household things
and the work procedures.
C These all are the symptoms and the signs that describe the person having the medical issue
related to CVA or their body having the blood clot and their blood vessel will stop the
processing of the blood in the human body from brain to all parts of the body. CVA is a
disease that leads to the stoppage of brain function and the human body would not be able to get an indication and respond from the brain this will lead to a high level of the disease and the person can get a paralysis attack.
Question 4
A According to the medical prescription, Fred is having the six types of medicines that are
prescribed to him by the doctors because of his health and based on his health condition. As
he has digoxin at the range of the 125 mcg PO daily the reason behind this medicine and
usage of this medicine is to reduce the chance of heart failure and this will help Fred to
improve the blood function into his heart and his heart pumps blood more effectively like
before when he was at his younger age in 20s. this is the importance of this medicine that is
given to him for the better and the healthy development in Fred's health. Also, improve the
health condition of the person this is the reason they prescribe the medicine at the level of
125 mcg at the PO daily (Hontsariuk et al., 2019).
B Another medicine that prescribes him is the simvastatin that belongs and use this medicine to
reduce the cholesterol level in the human body and maintain the cholesterol level in the
human and the reason prescribing the medicine is because more cholesterol in the human
body leads to blockage in the blood vessel of the Fred. The level of this medicine that is
given to Fred is 40 mg and this will maintain the heart and the blood balance in the body and
reduce the risk of heart disease. The cholesterol in the human body builds the fatty substance
that builds in the human body and the blood vessel and this block the way of the blood into
the blood vessels. This is the reason they prescribe this medicine to Fred to reduce the
cholesterol level in his body (Renzitti, 2018).
C Amlodipine medicine is used to treat high blood pressure and hypertension and this prevents
reducing angina this is known as the appear chest pain and heart-burning. The heart pain and
the chest burn leads to high blood pressure and because of this calcium channel will be
broken and which helps to this reduce the pressure of the blood in the human and maintain
the blood pressure level in the human body (Renzitti, 2018).
Question 5
All the medication and the medical history of Fred and his past medical illness are described
clearly that he been having the CVA issue for a very long time because he has such kind of
the disease that indicates to the CVA. this has been very clear as the CVA is such a high issue
and it is important to take care of the person more during this time and have to make things
possible (Madan & Schoutens, 2016). The medical things and the CVA is the disease that
makes the person handicapped and paralyzed if they do not take the person at the right time
and also, they have to change their diet and the supplements to maintain their diabetes,
cholesterol, and blood pressure level in their body. Fred has the issue and the symptoms of
having the CVA of the non-modifiy level because after a week of therapy he is still having
the issue in moving his hand off the left side and he is unable to walk properly (Madan &
Schoutens, 2016).
These are the sign and the indications that define that Fred is going to face a serious issue in
the future and before the situation gets out of control he has to make sure to do the proper
amount of check-ups and start taking precautions on that amount of level to avoid such kind
of unscary things and the unwanted things (Renzitti, 2018). This has been very clear that if
Fred would not take this health issue seriously and if he would not go to the doctor regularly
or take the medicine from time to time then there might be a chance that he may have the
paralysis attack or blockage in the brain and due to this he might get die and get Ill so hard
that he is unable to walk again properly. This is the reason he has to make sure to take the
medicine and he needs to do a proper level of body check to check if there is another way to
reduce the level of their CVA in the body and with the help of surgery or operation the
blockage in his vessels will be open and the blood flows continue in his body (Renzitti, 2018).
Refernces
Gareeva, D., Dunaeva, A., Zagidullin, N., Haphyzov, T., & Zagidullin, S. (2017).
P6489Nephroprotective effect of ishemic preconditioning in contrast-induced nephropathy in
patinets with mild chronic kidney failure. European Heart Journal, 38(suppl_1).
https://doi.org/10.1093/eurheartj/ehx493.p6489
Hontsariuk, D., Hristich, T., Teleki, Y., & Olynik, O. (2019). Chronic pancreatitis in
combination with ishemic heart disease: changes in cytokine immune
response. Pancreatology, 19, S136. https://doi.org/10.1016/j.pan.2019.05.370
Indriastuti, M., & Harun, N. (2020). Comparative Pharmacoeconomy and Effectiveness of
Combination Antiplatelet Cost in Patient Ishemic Stroke. Journal Of Physics: Conference
Series, 1477(6), 062004. https://doi.org/10.1088/1742-6596/1477/6/062004
Iobenguane. (2017), 1682(1), 171-171. https://doi.org/10.1007/s40278-017-39802-8
Madan, D., & Schoutens, W. (2016). Conic CVA and DVA. Wilmott, 2016(82), 45-50.
https://doi.org/10.1002/wilm.10490
Ponatinib. (2019), 1758(1), 285-285. https://doi.org/10.1007/s40278-019-63831-1
Renzitti, S. (2018). Accelerating CVA and CVA Sensitivities Using Quasi Monte Carlo
Methods. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3193219
Renzitti, S. (2018). Accelerating CVA and CVA Sensitivities Using Quasi Monte Carlo
Methods. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3193219