Mrs. J having all the sign and symptom with the history of having hypertension, chronic heart failure, sleep apnea, and smoke two pack of cigarettes a day, is not a thing to play with because she has expose herself to many things such as stroke, and brain death because the sleep apnea and the heart attach, will deprives the brain of oxygen since the cardiac muscle are not strong enough to be able to pump blood to her brain. heart failure occurs when the cardiovascular system is unable to meet the metabolic demands of the body. Her being in ICU is nice because she needs all the intensive care needed to prevent her condition from having a negative outcome. Using the vital signs that is already given, the ICU nurse will now reassess her again, compare the vital and then create a baseline. With all the information she collected, she already is aware of the breathing issue first since airway is our priority, she will be position in a cardiac position to ease pressure off her lungs so she can breathe.
The nurse will establish a relationship with Mrs. J that will help calm down her anxiety that she is in safe hands. When doing that, the nurse will look into the physician order and have all Mrs. J medication given in a timely manner. Perform all screening if order by the physician, wait for results and give the physician a feedback for further follow-up. The rational for administering IV Lasix in Mrs. J condition, is due to the heart failure and respiratory issues she is having because IV Lasix is an anthranilic acid derivative that is used as a strong diuretic. Lasix is also use with antihypertensive drugs to control hypertension. A loop diuretics are the single most effective agents available to decrease circulating blood volume and reduce signs of congestion.
The Essay on Mrs Linden Nora Nurse Life
To meet the needs of others, characters are often faced with making important decisions. In A Doll's House, Nora, Mrs. Linden, and the nurse must all make decisions crucial to the importance of their lives. It is very evident throughout the story that these women must give up important aspects of their lives not only for themselves, but also for others. The nurse is a key importance in Nora's ...
They act via inhibition of the Na+/k+/cl- cotransporter in the thick ascending loop of Henle. This leads to increase renal sodium and chloride excretion, with subsequent free water loss, IV Lasix directly reduces pulmonary capillary wedge pressure via local prostaglandin synthesis, which has a vasodilatory effect. This will also decrease the heart inability to pump blood. Vasotec is used alone in combination with other medication to treat high blood pressure. Vasotec control high blood pressure and heart failure but does not cure them, and also decreases the inability of the heart to pump blood to the body. Vasotec is ACE inhibitor used to decrease cardiac afterload.
Metoprolol is a beta blocker which control the heart and it circulation. It is used to treat hypertension and angina because it works by relaxing blood vessels and slowing heart rate, which improves blood flow and lowers blood pressure. Metoprolol decreases the heart rate and by so doing, the coronaries will fill. IV Morphine Sulfate is an opioid use in treating pain. It causes vasodilation, decreases the cough reflex and also relaxes the patient and by so doing, calming her by decreasing her anxiety.( Woodruff ,2010) The interventions here will be,
1) Is to educate her on her medications by asking her if there are other medications she takes that are not prescribe because she may be taking an over the counter medication alongside with prescription medication without knowing that they can be used for the treatment of the same condition. The education should involve, the purpose, time of taking, dose, advantages and side effect. (Merck, 2013).
The Term Paper on Congestive Heart Failure Patient Patients Blood
Introduction Everyone loses pumping ability in their heart as they age. The serious case of heart failure develops when other health conditions cause the heart to work harder or become damaged due to increased stress. Heart failure is usually a chronic disease. It gradually tends to become worse. By the time someone is diagnosed with it, the heart has most likely begun to lose pumping capacity for ...
Some individuals’ take 4/5 prescription medications, nonprescription medication each day. The rational is to make such the patient is knowledgeable of the type of medication she is taking including the uses and dosage. 2) Involve the patient in the care plan by providing a list of the medication, doses to be taken, time to be taken and indicate if with meal or without meal, and if it should be crush or not. (Merck, 2013).
The patient should take note of any drug reaction and report it immediately. She should also take note of any change in medication and adjust it in the list.
The rational is to avoid any medication error. 3) The pharmacist will be consulted for any medication that need further explanation if need be because the pharmacist have better understanding of the medications. Patient is being assess for any vision problem because it can be a problem to the patient which can lead to over dosing or taking the wrong medication. Ensure all medication refills are on time. The rational for this is to make sure the patient have good vision and is able to access her medication or if safety caps for medication are better or not.( Marek &Antie, 2008, Ch. 18) 4)
The nurse will assess to see if all medication was properly taken, fill medication if need be, re-evaluate medication with patient. The rational for this is to make sure patient is mentally sound because there are many reasons that will make a patient or an individual missed his/her medication. Assess to see if the patient is having emotional issue, mobility issue, financial issues and any psychosocial or psychological issue, and look for ways to assist the patient if she is having any issue. (Merck, 2013).
Reference:
Marek, K.D., & Antie, L. (2008).
Dwelling Older Adult. In Patient safety and Quality An Evidence- Based Handbook for Nurses. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2670/. Woodruff, K (2010).
Aging and Drugs. Retrieved from http://www. Merckmanuals.com/home/older_health_issues/aging_and_drugs-html.
