Welcome to the Most Reliable Essay writing Service Online

Management of Clients’ Health: 63 Year Old, Mrs J

by | Mar 26

I need some help with the following case scenario:

Mrs. J. is a 63-year-old woman whohas a historyof hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospitalICU with acute decompensated heart failure.

Subjective Data:

– Is very anxious and asks whether she is going to die.

– Denies painbut says she feels like she cannot get enough air.

– Says her heart feels like it is “running away.”

– Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data:

– Height 175 cm; Weight95.5 kg

– Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58

– Cardiovascular: Distant S1, S2, S3, S4 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation

– Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%

– Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

QUESTION:

1) What nursinginterventions are appropriate for Mrs. J. at the time of her admission? Drug therapyis started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

a) IV furosemide (Lasix)
b) Enalapril (Vasotec)
c) Metoprolol (Lopressor)
d) IV morphine sulphate (Morphine)

2) Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

1) The nursing interventions that are appropriate for Ms. J. at the time of her admission, include making her feel as comfortable as possible, providing her with oxygen, and provided her with the medications that will help to stabilize her condition.

a) The rationale for administering Lasix, is to prevent any fluid retention around the heart, or in other areas of the body, due to the decompensated heart failure. In addition, this medication …

  

CLIENT TESTIMONIALS

The Service Is Okay. I won’t Complain

The writers on the website are courteous and the customer service responds quickly. My paper was handled well; They promised...

Writers here are very professional and are native British

Thanks a lot for helping me out with my PhD Thesis, Writers here are very professional and are native British!!

Jack, The United Kingdom

Very Very Helpful, and On time.

Very Very Helpful, and On time.

Adelio M, Spain

I scored complete A’s in 3 out of four courses

I scored complete A’s in 3 out of four courses

Anonymous, Illinoi Chicago

CLICK HERE  To order your paper

About Essaysmiths Assignment writing service

We are a professional paper writing website. If you have searched a question and bumped into our website just know you are in the right place to get help in your coursework. We offer HIGH QUALITY & PLAGIARISM FREE Papers.

How It Works

To make an Order you only need to click on “Order Now” and we will direct you to our Order Page. Fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.

Are there Discounts?

All new clients are eligible for upto 20% off in their first Order. Our payment method is safe and secure.

 CLICK HERE to Order Your Assignment

 

Recently Posted Questions.

Order your Assignment today and save 15% with the discount code ESSAYHELP

X