Levels Tought:
Elementary,Middle School,High School,College,University,PHD
Teaching Since: | May 2017 |
Last Sign in: | 192 Weeks Ago |
Questions Answered: | 27237 |
Tutorials Posted: | 27372 |
MCS,MBA(IT), Pursuing PHD
Devry University
Sep-2004 - Aug-2010
Assistant Financial Analyst
NatSteel Holdings Pte Ltd
Aug-2007 - Jul-2017
Question description
Please do a paragraph about this post with this instruction .
post most have 4 or more sentences .
you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings
Nursing interventions appropriate for Mrs. J. at time of her admission:
The initial goal is to stabilize Mrs. J’s. condition. We want to provide conservative measures that will improve her comfort and condition to avoid mechanical ventilator support. This includes medications and oxygen. Nursing interventions would include, monitoring blood pressure, heart rate, respiratory rate and status, auscultating lung and heart sounds, placing IV or obtaining IV access. Placing patient on telemetry and providing oxygen and medications as ordered. Calming and reassuring the patient, informing patient what is being done and why, and obtaining further medical and allergy history. Check Lab work such as BNP, CPK, and troponin to check for fluid overload and cardiac muscle deterioration, electrolytes should be monitored and checked frequently, especially potassium and sodium levels due to Lasix. Monitor strict I&O to check for fluid balance, and place an indwelling Foley catheter for accurate output measurements.
Rationale for the administration of each of the following medications:
Describe four cardiovascular conditions that may lead to heart failure (American Heart Association, 2016):
Heart failure is the inability of the heart to pump a sufficient amount of blood to adequately perfuse the body to meet its metabolic needs. Heart failure is common as people age, and is usually a result of years of added stress due to health conditions that damage the heart or make it work too hard. Poor lifestyle habits like smoking, being overweight, eating foods high in fat and cholesterol and physical inactivity increases your risk of heart disease, heart attack and stroke. Hypertension, prior myocardial infarction (MI), valve disease or longstanding obstructive lung disease can also lead to heart failure being overweight, eating foods high in fat and cholesterol and physical inactivity – can also contribute to heart failure (American Heart Association, 2016).
What can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition American Heart (Association 2016) .
Hypertension: Eat a well-balanced low salt, low fat diet. Maintain a healthy weight. Become more active and exercise daily. Physical activity not only helps control blood pressure it helps you manage your weight, strengthen your heart and lower your stress level. Take your antihypertensive medications daily and properly. Check with your doctor or pharmacist regarding over the counter medications, such as decongestants that can have interactions with your medications. Know how to check your blood pressure and check it daily at rest.
Myocardial Infarction (MI) and Coronary artery disease (CAD): Good nutrition, weight management and physical activity. Get your cholesterol checked. Maintain a healthy lifestyle by avoiding smoking and alcohol. Manage high blood pressure.
Abnormal heart valves: Can be congenital, caused by virus or infection. Inform your patient to let doctor or dentist know of your risk prior to any dental or oral procedures or surgery. Will need antibiotic before procedure to prevent endocarditis. Promote good oral care to prevent tooth decay and abscesses that may lead to infections. Cardiomyopathy is when the heart muscle becomes enlarged, thick or rigid, and in rare cases the muscle tissue is replaced with scar tissue. These patients also need a healthy, low fat, low cholesterol, low sugar diet, Weight management and weight loss. As with all cardiac prevention; exercise and healthy lifestyle to prevent further cardiac complications.
Taking into consideration 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 intervention you recommend. Regina M. Phillips (2011):
----------- He-----------llo----------- Si-----------r/M-----------ada-----------m -----------Tha-----------nk -----------You----------- fo-----------r u-----------sin-----------g o-----------ur -----------web-----------sit-----------e a-----------nd -----------acq-----------uis-----------iti-----------on -----------of -----------my -----------pos-----------ted----------- so-----------lut-----------ion-----------. P-----------lea-----------se -----------pin-----------g m-----------e o-----------n c-----------hat----------- I -----------am -----------onl-----------ine----------- or----------- in-----------box----------- me----------- a -----------mes-----------sag-----------e I----------- wi-----------ll