Congestive Cardiac Failure – Nursing Assignment

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Nursing Assignment:

Mrs Sharon McKenzie is a 77-year-old female who has presented to the emergency department with increasing shortness of breath, swollen ankles, mild nausea, and dizziness. She has a past history of MI at age 65. During your assessment, Mrs. McKenzie reports the shortness of breath has been ongoing for the last 7 days and worsens when she does her gardening and goes for a walk with her husband. On examination, her blood pressure was 170/110 mmHg, HR 54 bpm, respiratory rate of 30 bpm with inspiratory crackles at both lung bases, and Sp02 at 92% on RA. Her fingers are cool to touch with a capillary refill of 1-2 seconds. Mrs. McKenzie states that this is normal and she always has to wear bed socks as Mr. McKenzie complains about her cold feet. Her current medications include digoxin 250mcg daily, frusemide 40mg BD, enalapril 5mg daily, warfarin 4mg daily but she sometimes forgets to take all of her medications. The following blood tests were ordered: a full blood count (FBC), urea electrolytes and creatinine (UEC), liver function tests (LFT), digoxin test, CK, and Troponin. Her potassium level is 2.5mmol/L. Mrs. McKenzie also has an ECG which showed sinus bradycardia, and a chest x-ray showing cardiac enlargement and lower-lobe infiltrate.

Question:

1) Outline the causes, incidence and risk factors of the identified condition and how it can impact on the patient and family

2) List five (5) common signs and symptoms of the identified condition; for each provides a link to the underlying pathophysiology

3) Describe two (2) common classes of drugs used for patients with the identified condition including a physiological effect of each class on the body

 

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Posted on : April 02nd, 2018
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