Question

In: Nursing

1. Name the two Diuretics That affect the loop of Henle.    A. What is the dosage...

1. Name the two Diuretics That affect the loop of Henle.   

A. What is the dosage and route this would be administered?  

B. Name a contraindication for this medication.

2. List what assessment parameters must be assessed for CHF

   A. Differentiate: Right, Left, Chronic Failure and Acute decompensated heart failure (ADHF).

B. Symptoms Right Sided and Left Sided heart Failure

      C. List 4 areas patient and family teaching related to the CHF

   3. What are immediate nursing actions taken upon assessment of a patient in ADHF

         A. Identify 3 Nursing Diagnosis related to CHF

         B. Give one patient goals for one of the Nursing Diagnosis, you Identified.

          C. Write 2 priority nursing Interventions related to the nursing diagnosis and patient goal

Solutions

Expert Solution

1. Loop diuretics - furosemide,torsemide

A) frusemide

Dose

Edema: intial dose20 to 40 mg if neede dose can be increased to 80 mg

Bp: 40 to 80 mg

Dosage form : tab, parenteral

Route: iv or im or po

Torsemide

Dose

HF : 10 or 20 mg once daily

Renal failure: 20 mg once daily

Bp: 5 mg once daily

Dosage : tablet

Route: po

B)contraindication : anuria,hypersensitivity

2)assesment parameters :

Vital signs, cardiovascular assessment (heart rhythm,resporatory assessment(lung sounds)physical examination( edema, skin colour) laboratory tests ( blood test) chest xray.

A) left side hf results from left ventricular dysfunction.left side heart failure is usally caused by coronary artery disease or myocardial infarction(heart attack) or high bp.

Right side heart failure occurs when right side fail to contract effectively.Right side HF occur as a result of left side heart failure. When the left side weakens the right side has to work hard to compansate which may weakens the right side muscles.

ADHF is a syndrome defined by the sudden worsoning of symptoms like fatigue dyspnea or edema of HF.

B)leftsidehf: shortness of breath,sleeplessness,coughing,wheezing. Fluid accumulation in lungs,tachypnea,cyanosis,tachycardia.

Right side; dyspnea,fatigue,lethergy,edema of arm ,leg and abdomen, weight gain

C) medication,diet, activity level,follow up

3)▪objective monitoring for changes in symptoms.

▪ heamodynamic changes ( bp monitoring)

▪Heart rhythm

▪Cardiac output

▪Anxiety levels

▪clinical assessment (edema,jugular pressure)

▪Lab test( blood,urine)

A) ●tachycardia

●Dypsnea

●Edema

●congestion

B)maintain proper liquid level in the body by reducing intake of water

C) edema : acitis ,cardiac tissue perfusion

▪Monitor urine output. Note decreased output and concentrated one.

▪Control water intake

▪ measure degree of edema

Nightingale answered 2 years ago
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