Pathophysiology and Nursing Administration of Purchasers Well being – Alterations of Hematology and Cardiovascular Methods
Grand Canyon College
Use the next Case State of affairs, Subjective Information, and Goal Information to reply the Important Pondering Questions.
Case State of affairs
Mrs. J. is a 63-year-old girl who has a historical past of hypertension, power coronary heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to give up. Three days in the past, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medicines or her medicines to regulate her coronary heart failure for four days. In the present day, she has been admitted to the hospital ICU with acute decompensated coronary heart failure.
Subjective Information
- Could be very anxious and asks whether or not she goes to die.
- Denies ache however says she looks like she can’t get sufficient air.
- Says her coronary heart looks like it’s “working away.”
- Experiences that she is so exhausted she can’t eat or drink by herself.
Goal Information
- Peak 175 cm; Weight 95.5 kg
- Very important indicators: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
- Cardiovascular: Distant S1, S2, S3, S4 current; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; preliminary cardiac monitoring signifies a ventricular charge of 132 and atrial fibrillation
- Respiratory: Pulmonary crackles; decreased breath sounds proper decrease lobe; coughing frothy blood-tinged sputum; SpO2 82%
- Gastrointestinal: BS current: hepatomegaly four cm beneath costal margin
Important Pondering Questions
What nursing interventions are applicable for Mrs. J. on the time of her admission? Drug remedy is began for Mrs. J. to regulate her signs. What’s the rationale for the administration of every of the next medicines?
- IV furosemide (Lasix)
- Enalapril (Vasotec)
- Metoprolol (Lopressor)
- IV morphine sulphate (Morphine)
Describe 4 cardiovascular situations that will result in coronary heart failure and what may be executed within the type of medical/nursing interventions to forestall the event of coronary heart failure in every situation.
Making an allowance for the truth that most mature adults take at the least six prescription medicines, talk about 4 nursing interventions that may assist forestall issues attributable to a number of drug interactions in older sufferers. Present rationale for every of the interventions you advocate.
