[Solved]: Alice is an 89-year-old woman with a long history…

Alice is an 89-year-old woman with a long history of heart failure secondary to a large ventricular myocardial infarction when she was in her 70s. She experiences poor activity tolerance and requires assistance with activities of daily living. Even minimal activity has been associated with moderately severe dyspnea and exertional chest pain, which is normally relieved by rest. Alice also presents with marked 2-3+ pitting pedal edema bilaterally. She is currently being treated with several medications related to her heart disease: · Cardiac glycoside (digoxin), · Diuretic (lasix), · KCl, (potassium chloride), and · Vasodilator (sublingual nitroglycerin). Question 1 – Which type of heart failure (left- or right-sided) is usually associated with dyspnea? What other clinical findings are likely to be present with this type of heart failure? Question 2 – What compensatory mechanisms are likely to be operative in Alice to maintain or improve cardiac output? Question 3 – What diagnostic tests should be monitored related to Alice’s heart failure? What do you think is the most likely cause of Alice’s pedal edema? Question 4 – What is the cause of Alice’s exertional chest pain? What diagnostic tests would be useful to confirm this diagnosis? Question 5 – What is the rationale for the use of each of Alice’s medications in managing her heart failure?