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Case Study of Mr. Bruce – Medical Science Assignment Help

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Mr Bruce Walker has been admitted to the emerge, department with left sided weakness and an altered speech pattern. He has a past medical history of hypertension, atrial fibrillation (AF) and transient ischaemic attacks (TIA). He has been diagnosed with a right sided cerebrovascular accident (CVA) and commenced on an anticoagulant with regular monitoring.


Please respond to the following questions: 

A. The nervous system has two main divisions, identify these and list their associated structures.

B. Discuss how the brain is supplied with blood, including the two types of arteries and the role of the Circle of Willis.

C. What is the blood brain barrier (BBB) and why is it important?

D. List 6 modifiable and/or non-modifiable risk factors for a cerebrovascular accident (CVA).

E. What differentiates a Transient Ischemic Attack (TIA) from a Cerebrovascular Accident (CVA)? 

F. Identify and discuss the different types of cerebrovascular accidents (CVAs) including their pathophysiology.

G. Mr Bruce Walker was prescribed apixaban. Warfarin and apixaban can both be used in CVA prevention. Provide a rationale for why apixaban was chosen, referring to the pharmacology of these medications.
 

 
Short answer question:


Please respond to the following questions: 

A. Mrs Smith has been diagnosed with asthma. Explain the immune response occurring in the respiratory system.

B. Describe two signs and/or symptoms of asthma, and explain the pathophysiology of each.

C. The nurse prepares to administer a corticosteroid to Mrs Smith. What is the rationale for administering this drug to this patient? 

D. In the past, Mrs Smith has had recurring chest infections, for which she has been given antibiotics. What are antibiotics and how do they work? Please include in your response the principlesof antirnicrobial medications and one example of how one specific antibiotic works.

E. Explain your understanding of antibiotic resistance and how it develops, including the identification of one type of bacteria that is resistant to antibiotic therapy.

F. What are receptors, agonists and argagonists and give an example of each.

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