Question

Cardiac Case Study Data Mrs. Kellie Consuelo, a 70 year-old Hispanic woman, was admitted to the medical unit with complaints of shortness of breath. Subjective data: - Had a severe MI at 58 years of age - Has experienced increasing shortness of breath during the last 2 weeks - Recently had a respiratory tract infection; has persistent cough, and edema in legs 2 weeks ago - Cannot climb a flight of stair without getting short of breath - Sleeps with head elevated on 3 pillows - Does not always remember to take her medication Objective data: - In respiratory distress: use of accessory muscles, respiratory rate of 36 breaths/minute - Systolic heart murmur - Moist crackles in both lungs - Cyanotic lips and extremities - Skin cool and diaphoretic Diagnostic studies: - Chest x-ray results- cardiomegaly with right and left ventricle hypertrophy; fluid in lower lung fields - Echocardiogram results- EF 20% Collaborative care: - Digoxin 0.25mg PO daily - Furosemide (Lasix) 40 mgEq PO bid - Potassium 40 mEq PO bid - Enalapril (Vasotec) 5 mg PO daily - 2g sodium diet - Oxygen 6 L/min by nasal catheter - Daily weights - Daily- 12 lead ECG, serum electrolytes, cardiac enzymes q8hx3 Cardiac Case Study 1. Explain the pathology of Mrs. Kellie's heart disease and dyspnea. 2. What clinical manifestations of HF did Mrs. Kellie exhibit? 3. What is the significance of the findings of the diagnostic studies? 4. Would a serum BNP be beneficial in the diagnosis of HF? 5. Explain the rational for each of the medical orders prescribed for Mrs. Kellie? 6. What are the priority nursing interventions for Mrs. Kellie? 7. Based on the assessment data presented, write one or more priority nursing diagnosis. Identify any collaborative problems. 8. What teaching measures should be instituted to prevent recurrence of ADHF? Heart case study answers

Answer 1