Stuart Case Study - ANS Response - Nursing Assignment Help

Assignment Task:

Stuart is a 72yo male who lives alone since his partner died 2 years ago. He has come to see his GP today as he has had several episodes where he has felt faint, and “may even have passed out on a couple of occasions”. It is some time since Stuart attended the clinic and you note when weighing him that he has lost a significant amount of weight, and he doesn’t present as the robust active older person that you remember. He mentions that he doesn’t cook much and relies on the take-away shop around the corner for most of his food these days. 
He explains that he has been very lonely since he lost his partner but is excited to reveal a new zest for life now that he has met a new friend, with whom he recently travelled to Cusco, Peru (3400 m above sea level). While he thoroughly enjoyed the trip, he did mention he found it more difficult than normal to breathe there. His relationship has developed sexually, but he has had some difficulty performing. Stuart thought it was his prostate giving him trouble, but with urging from his new partner he bought some Viagra nasal spray over the internet.

Question 1
1. Which ANS response would you expect to dominate after Stuart has had a large bowl of pasta for lunch? Explain your answer. 
2. Which hormone associated with glucose homeostasis would you expect to be most active during this ANS response? Why? Using your knowledge of glucose homeostasis, explain your answer. 

Question 2 
1. Consider Stuart’s blood pressure result and discuss whether the mean arterial pressure is likely to be varied from normal. In your answer you must include reference to a change in vessel diameter with age and briefly mention the consequences of any change in BP upon kidney function. 
2. In this circumstance, do you think the renin-angiotensin-aldosterone system or natriuretic peptides will dominate in the maintenance of Stuart’s blood pressure. Discuss the role of your chosen system in blood pressure homeostasis to explain your answer. 

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