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Posted: May 11th, 2022
GC NRS410 WEEK 3 DISCUSSION LATEST 2016 APRIL
Use the next Case Situation, Subjective Knowledge, and Goal Knowledge to reply the Crucial Considering Questions.Case ScenarioMrs. 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 drugs or her drugs to regulate her coronary heart failure for four days. Right now, she has been admitted to the hospital ICU with acute decompensated coronary heart failure.Subjective DataIs very anxious and asks whether or not she goes to die.Denies ache however says she seems like she can not get sufficient air.Says her coronary heart seems like it’s “working away.”Stories that she is so exhausted she can not eat or drink by herself.Goal DataHeight 175 cm; Weight 95.5 kgVital indicators: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58Cardiovascular: 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 fee of 132 and atrial fibrillationRespiratory: Pulmonary crackles; decreased breath sounds proper decrease lobe; coughing frothy blood-tinged sputum; SpO2 82%Gastrointestinal: BS current: hepatomegaly four cm under costal marginCritical Considering QuestionsWhat nursing interventions are acceptable 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 drugs?IV furosemide (Lasix)Enalapril (Vasotec)Metoprolol (Lopressor)IV morphine sulphate (Morphine)Describe 4 cardiovascular circumstances that will result in coronary heart failure and what will be performed 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 no less than six prescription drugs, focus on 4 nursing interventions that may assist stop issues attributable to a number of drug interactions in older sufferers. Present rationale for every of the interventions you suggest.
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