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.
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.
Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.
Case Scenario
Mrs. J. is a 63-year-old woman who has a history of 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 hospital ICU with acute decompensated heart failure.
Subjective Data
Is very anxious and asks whether she is going to die.
Denies pain but 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; Weight 95.5 kg
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
Cardiovascular: Distant S1, S2, S3 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
Critical Thinking Questions
What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
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.
Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.
Wow, superb weblog structure! How long have you been blogging for?
you made blogging look easy. The total look of your web site is wonderful, let alone the content!
You can see similar here sklep online
Hey there! Do you know if they make any plugins to assist with
Search Engine Optimization? I’m trying to get my
site to rank for some targeted keywords but I’m not seeing very good gains.
If you know of any please share. Many thanks! You can read similar
art here: Hitman.agency
Hello there! Do you know if they make any plugins to assist with Search Engine
Optimization? I’m trying to get my site to rank for some targeted keywords
but I’m not seeing very good gains. If you know of any please share.
Thank you! You can read similar art here: Escape rooms
I will immediately seize your rss feed as I can not find your e-mail subscription hyperlink or e-newsletter service. Do you’ve any? Kindly permit me know so that I may subscribe. Thanks!
I have to thank you for the efforts you’ve put in penning this website. I really hope to check out the same high-grade content from you later on as well. In fact, your creative writing abilities has inspired me to get my own, personal blog now 😉
Way cool! Some extremely valid points! I appreciate you writing this article and the rest of the site is also really good.
Hey just wanted to give you a quick heads up. The text in your article seem to be running off the screen in Chrome. I’m not sure if this is a format issue or something to do with web browser compatibility but I figured I’d post to let you know. The layout look great though! Hope you get the problem resolved soon. Thanks
That is a really good tip particularly to those fresh to the blogosphere. Short but very precise info… Appreciate your sharing this one. A must read post.
You have made some good points there. I looked on the web for more info about the issue and found most individuals will go along with your views on this site.
Hey! Do you know if they make any plugins to help with SEO?
I’m trying to get my blog to rank for some targeted keywords but I’m not seeing
very good gains. If you know of any please share. Thanks!
You can read similar art here
Very nice write-up. I certainly appreciate this website. Thanks!
This web-site is actually a walk-through you discover the data you desired in regards to this and didn’t know who must. Glimpse here, and you’ll certainly discover it.
Please let me know if you’re looking for a writer for your blog. You have some really good articles and I think I would be a good asset. If you ever want to take some of the load off, I’d love to write some content for your blog in exchange for a link back to mine. Please shoot me an email if interested. Many thanks!
Every once in a while I find something worth reading when I’m surfing the internet. Bravo… thanks for creating real content here…
I saw one more thing concerning this on another blog. Youve obviously spent a while with this. Done well!
The very next time I read a blog, Hopefully it doesn’t fail me as much as this one. I mean, Yes, it was my choice to read through, but I truly believed you would probably have something helpful to say. All I hear is a bunch of complaining about something that you could fix if you weren’t too busy looking for attention.
Whats up this is kinda of off topic but I was wanting to know if blogs use WYSIWYG editors or if you have to manually code with HTML. I’m starting a blog soon but have no coding skills so I wanted to get advice from someone with experience. Any help would be enormously appreciated!
Great post. I am facing many of these issues as well..
Some really interesting information, well written and broadly speaking user friendly .
i love food and drinks that are very tasty. i do eat a lot and drink a lot of alcohol these days.
i never miss bachelor parties because i love to party,
This site may be a walk-through it really is the data you desired about this and didn’t know who to question. Glimpse here, and you’ll definitely discover it.
I’m new to your blog and i really appreciate the nice posts and great layout.`.`-,
Good day! I just wish to offer you a big thumbs up for your great information you have here on this post. I’ll be coming back to your website for more soon.
there is no other disease that can really annoy your face, pimples really suck.
I couldn’t refrain from commenting. Perfectly written.
Dzięki za to, że skomplikowane tematy SEO stały się bardziej przystępne.
Dzięki za praktyczne wskazówki dotyczące bezpiecznego SEO. Bardzo przydatne!
Bardzo przydatny artykuł o SEO. Planuję zastosować te wskazówki na mojej stronie.
Doceniam skupienie się na bezpieczeństwie, gdy mowa o SEO.
Dzięki za praktyczne porady dotyczące radzenia sobie z SEO.
To jest obowiązkowa lektura dla każdego, kto zajmuje się SEO.
Excellent weblog right here! after reading, i decide to buy a sleeping bag ASAP
I totally got what you had to say in your blog. i’m going to give you a thumbs up for good work.
I would like to thank you for the efforts you’ve put in writing this web site. I am hoping the same high-grade blog post from you in the upcoming also. In fact your creative writing skills has encouraged me to get my own blog now. Actually the blogging is spreading its wings rapidly. Your write up is a good example of it.
When I originally commented I clicked the -Notify me when new comments are added- checkbox and after this each time a comment is added I recieve four emails with the exact same comment. Possibly there is that is you are able to get rid of me from that service? Thanks!
Needed to send you that bit of remark to give thanks yet again for all the striking principles you have contributed on this site. This is simply surprisingly generous of you to give easily precisely what a few people could possibly have marketed as an electronic book to generate some cash on their own, chiefly given that you might have done it in case you wanted. These points as well worked to become good way to fully grasp other people online have the same dreams similar to my personal own to figure out way more with regard to this problem. I’m sure there are lots of more pleasant sessions in the future for people who browse through your site.
Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You definitely know what youre talking about, why throw away your intelligence on just posting videos to your weblog when you could be giving us something informative to read?
I was curious if you ever considered changing the layout of your site? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having one or two pictures. Maybe you could space it out better?
Spot on with this write-up, I honestly think this excellent website wants a lot more consideration. I’ll more likely be again to see much more, thank you for that info.
J’ai la possibilité de vous transmettre les adresses pour plus d’échantillons en relation avec cet idée. Contactez moi par email.
I discovered your site internet site on google and check several of your early posts. Keep in the very good operate. I merely extra your Rss to my MSN News Reader. Seeking toward reading far more from you down the road!…
You’ve provided a fresh take on this issue.소상공인 대출
Your research is thorough and well-presented.햇살론 무직자 대출
I’m bookmarking this for future reference.검색엔진최적화
Spot on with this write-up, I seriously believe that this website needs far more attention. I’ll probably be returning to read more, thanks for the info!
This web page can be a walk-through for all of the information you wanted about this and didn’t know who ought to. Glimpse here, and you’ll certainly discover it.
paris hilton was busted with cocaine haha servers her right
I’ve been exploring for a little for any high quality articles or weblog posts on this sort of area . Exploring in Yahoo I at last stumbled upon this site. Reading this info So i’m glad to express that I’ve an incredibly good uncanny feeling I came upon just what I needed. I most definitely will make certain to do not disregard this website and give it a glance regularly.
After exploring a few of the blog posts on your web page, I really appreciate your technique of blogging. I saved as a favorite it to my bookmark website list and will be checking back in the near future. Take a look at my website too and tell me how you feel.
May I just say what a relief to discover an individual who truly knows what they are discussing over the internet. You definitely understand how to bring a problem to light and make it important. A lot more people ought to check this out and understand this side of your story. It’s surprising you are not more popular since you most certainly have the gift.
You’ve made some really good points there. I checked on the net to learn more about the issue and found most people will go along with your views on this web site.
There is definately a great deal to learn about this issue. I like all of the points you’ve made.
I blog often and I seriously appreciate your content. Your article has really peaked my interest. I am going to bookmark your website and keep checking for new information about once a week. I opted in for your RSS feed too.
Spot on with this write-up, I honestly think this amazing site needs far more attention. I’ll probably be back again to read more, thanks for the advice!
I’m impressed, I must say. Seldom do I come across a blog that’s both educative and interesting, and let me tell you, you’ve hit the nail on the head. The problem is something that not enough men and women are speaking intelligently about. Now i’m very happy that I came across this in my hunt for something concerning this.
Pretty! This has been a really wonderful post. Many thanks for providing this information.
This is the perfect web site for anybody who would like to understand this topic. You understand so much its almost tough to argue with you (not that I really would want to…HaHa). You certainly put a new spin on a topic that’s been written about for many years. Great stuff, just wonderful.
Way cool! Some extremely valid points! I appreciate you penning this post and also the rest of the site is extremely good.
After checking out a handful of the blog articles on your web page, I really appreciate your way of blogging. I saved it to my bookmark website list and will be checking back in the near future. Take a look at my web site too and let me know what you think.
Your style is really unique compared to other folks I have read stuff from. I appreciate you for posting when you’ve got the opportunity, Guess I’ll just book mark this web site.
You need to take part in a contest for one of the finest sites on the web. I’m going to recommend this web site!
Everything is very open with a clear explanation of the issues. It was really informative. Your website is very useful. Thank you for sharing!
This is a topic that’s near to my heart… Thank you! Exactly where are your contact details though?
Great article. I will be going through some of these issues as well..
Hi, I do think this is a great web site. I stumbledupon it 😉 I will come back once again since I book marked it. Money and freedom is the greatest way to change, may you be rich and continue to guide other people.
Hello there! This article couldn’t be written any better! Going through this post reminds me of my previous roommate! He always kept talking about this. I will forward this article to him. Fairly certain he will have a good read. Many thanks for sharing!
Oh my goodness! Incredible article dude! Thank you, However I am having issues with your RSS. I don’t know the reason why I cannot join it. Is there anyone else having the same RSS problems? Anyone that knows the solution can you kindly respond? Thanks!
Having read this I thought it was very informative. I appreciate you spending some time and energy to put this short article together. I once again find myself spending a significant amount of time both reading and posting comments. But so what, it was still worthwhile.
Very good post. I definitely love this website. Stick with it!
I need to to thank you for this excellent read!! I definitely loved every bit of it. I have you book marked to look at new things you post…
I like reading through an article that will make people think. Also, many thanks for allowing for me to comment.
I’m going to share this with my network.워드프레스 seo
May I just say what a comfort to uncover somebody who really understands what they are discussing over the internet. You actually realize how to bring an issue to light and make it important. A lot more people should check this out and understand this side of your story. I was surprised that you’re not more popular since you surely have the gift.
I like looking through an article that will make men and women think. Also, many thanks for allowing me to comment.
Pretty! This has been an incredibly wonderful article. Many thanks for providing this info.
Aw, this was a very nice post. Taking the time and actual effort to create a very good article… but what can I say… I put things off a lot and don’t manage to get anything done.
You’re so cool! I do not believe I have read something like this before. So nice to find somebody with some original thoughts on this issue. Seriously.. thank you for starting this up. This website is one thing that’s needed on the web, someone with a little originality.
The very next time I read a blog, Hopefully it won’t fail me just as much as this particular one. I mean, I know it was my choice to read, but I truly thought you’d have something interesting to talk about. All I hear is a bunch of crying about something that you can fix if you weren’t too busy searching for attention.
Excellent post. I am going through a few of these issues as well..
You’ve made some really good points there. I looked on the web for additional information about the issue and found most people will go along with your views on this web site.
I’m amazed, I must say. Rarely do I encounter a blog that’s equally educative and amusing, and let me tell you, you have hit the nail on the head. The problem is something that too few folks are speaking intelligently about. I’m very happy I stumbled across this during my search for something regarding this.
I blog quite often and I truly thank you for your information. This article has truly peaked my interest. I am going to take a note of your blog and keep checking for new information about once per week. I opted in for your Feed too.
I blog quite often and I seriously thank you for your information. This article has truly peaked my interest. I will book mark your site and keep checking for new details about once a week. I subscribed to your RSS feed too.
This blog was… how do I say it? Relevant!! Finally I have found something which helped me. Thank you.
Hello! I just would want to give you a enormous thumbs up for the fantastic info you’ve got here with this post. I’ll be returning to your blog site for additional soon.