CASE STUDY: MANAGEMENT OF PATIENT WITH COMPLICATION FROM HEART DISEASE.
1. George Brown, 72 years of age, is a made admitted with the diagnosis of acute pulmonary edema secondary to acute left ventricular heart failure. The patient has a history of coronary artery disease that has treated medically,. The patent is anxious , pale, cold, clammy, and dyspneic. The vital signs are: blood pressure 88/90 mmHg, heart rate 110bpm, respiratory rate 32, breaths/min, and temperature 97o F,. There are bubbling crackles and wheezing throughout the lung fields and the patient is raising frothy blood tinged clear sputum, The patient’s admission weight is 100kg. (Learning Objective 4).
a, What first actions should nurse take and what are rationales for these action?
The physician ordered furosemide (Lasix) 40 mg IVP STAT
b, What are the actions of furosemide that will help the patient?.
c. What nursing actions should be implemented when administering a diuretic?.
2, Carl Edwards is a 75 year old man with heart failure,. Having sustained three myocardial infractions in the last 10 years, he has decreased left ventricular function, Mr, Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. Today he present to the emergency department with fatigue, generalized weakness, and feelings, of “skipping” heartbeats,. Upon arrival, he is placed on the cardiac monitor, his vital signs are assessed, and IV is inserted. He currently denies chest pain, but is experiencing some shortness of breath, and is on 2L of oxygen via nasal cannula. (Learning Objective 1)
a. Which of his medications might be contributing to his symptoms of generalized weakness and heart irregularities.?
b. For what clinical manifestations should you assess to correlate to his left-sided heart failure?
c. How do his medications treat his congestive heart failure?
d. How does the hypokalemia affect the effects of Digitalis?
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more