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Posted: May 11th, 2022
GC NRS410 WEEK 3 DISCUSSION LATEST 2016 APRIL
Use the following Case State of affairs, Subjective Data, and Aim Data to answer the Essential Contemplating Questions.Case ScenarioMrs. J. is a 63-year-old woman who has a historic previous of hypertension, energy coronary coronary heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to surrender. Three days prior to now, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medicine or her medicine to control her coronary coronary heart failure for 4 days. Proper now, she has been admitted to the hospital ICU with acute decompensated coronary coronary heart failure.Subjective DataIs very anxious and asks whether or not or not she goes to die.Denies ache nonetheless says she looks as if she cannot get enough air.Says her coronary coronary heart looks as if it is “working away.”Tales that she is so exhausted she cannot eat or drink by herself.Aim 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 present; 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 fibrillationRespiratory: Pulmonary crackles; decreased breath sounds correct lower lobe; coughing frothy blood-tinged sputum; SpO2 82%Gastrointestinal: BS present: hepatomegaly 4 cm below costal marginCritical Contemplating QuestionsWhat nursing interventions are acceptable for Mrs. J. on the time of her admission? Drug treatment is started for Mrs. J. to control her indicators. What is the rationale for the administration of each of the following medicine?IV furosemide (Lasix)Enalapril (Vasotec)Metoprolol (Lopressor)IV morphine sulphate (Morphine)Describe four cardiovascular circumstances that can lead to coronary coronary heart failure and what shall be carried out inside the kind of medical/nursing interventions to forestall the occasion of coronary coronary heart failure in each state of affairs.Taking into account the reality that the majority mature adults take at least six pharmaceuticals, deal with four nursing interventions that will help cease points attributable to plenty of drug interactions in older victims. Current rationale for each of the interventions you counsel.
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