Question

** I NEED THE ANSWERS BASED ON THE SCENARIO***

Instructions:

Review your required readings related to CHF and answer the following questions.

Read the following scenario and answer the following questons,

Please submit it in the course shell under this assignment

See rubric in a separate file

Scenario. ***I NEED THE ANSWERS BASED ON THE SCENARIO***

You are caring for a 78-year-old woman, Ms. Peterson who is admitted to the hospital with shortness of breath. She has a history of hyperlipidemia, hypertension and CAD. Her third MI was 8 months ago. Ms. Peterson is obese and has been retired for over 25 years and she lives alone.  She states she ran out of her drugs a week ago and has “just not gotten around to getting the medications refilled because she has been feeling depressed and does not feel like going out” On assessment you find Ms. Peterson to have fine crackles on bilateral lower lobes and shortness of breath on minimal exertion. She has an S1 and an S2 heart sounds without murmur or extra sounds.

Her vital signs are: BP 100/60, HR 84, RR 28, Temp 36.1° C. oxygen saturation is 89% at room air. Her capillary refill is sluggish in lower extremities as well as 2 (+) edema

1) Based on Ms. Peterson’s presentation, provide at least 3risk factors for CHF

2) Name at least five other typical signs and symptomsyou expect to find (or you may find) when assessing a patient with congestive heart failure.

3) Name at least three of the most common medications ordered for patients with  CHF

4) Therapeutic effects and nursing considerations when administering the three medications you mentioned above.

5) Provide at least three priority nursing education topics you will include when you are educating Ms. Peterson before discharge. Consider the medications you mentioned above and how she may prevent future exacerbations or complications of CHF

Answer 1

1. ANS: Risk factors for CHF:

High blood pressure (uncontrolled hypertension)

Excess weight (obesity)

Uncontrolled stress and anger

Physical inactivity

Diabetes.

2. ANS: Congestive heart failure signs and symptoms:

Heart failure marks and indications may include:

Exhaustion and shortcoming

Shortness of breath (dyspnea) when you endeavor or when you rests

Swelling (edema) in your legs, lower legs and feet

Fast or sporadic pulse

Diminished capacity to work out

Tenacious hack or wheezing with white or pink blood-tinged mucus

Expanded need to urinate around evening time

Swelling of your stomach area (ascites)

Exceptionally quick weight pick up from liquid maintenance

Absence of hunger and sickness

Trouble thinking or diminished sharpness

Sudden, serious shortness of breath and hacking up pink, frothy bodily fluid

Chest discomfort if your CHF is caused by a heart attack

3. ANS: congestive heart failure most common medications:

Beta Blockers (carvedilol, metoprolol)

ACE Inhibitors (lisinopril, captopril)

Angiotensin Receptor Blockers (losartan)

4. ANS: Therapeutic effects and nursing considerations:

A few solutions for heart disappointment enhance how healthy heart pumps. Others help expel abundance liquid from your body or enlarge veins so your heart doesn't need to fill in as hard. A blend of meds is regularly used to deal with your condition and help you can rest easy.

Heart disappointment is a continuous wellbeing condition. To remain as sound as could reasonably be expected, you may need to take prescription for whatever is left of your life. It's authoritative that you yield your drugs as your specialist recommended and not miss any dosages. Make a point to have solutions for these prescriptions replenished before you track out.

Abstain from taking any finished the-counter pharmaceuticals until the point when you converse with your specialist to check whether they are protected. Try not to take nonsteroidal agony relievers, (for example, Advil, Motrin, Aleve, and Nuprin), cool and influenza cures (particularly those containing pseudoephedrine), and drugs that contain sodium.

5. ANS: Heart disappointment is a constant infection requiring long lasting administration. Be that as it might, with treatment, signs and indications of heart disappointment can enhance, and the heart winds up more grounded. Treatment may enable you to live more and lessen your possibility of biting the dust all of an impulsive. Specialists some of the time can adjust heart disappointment by treating the basic reason.