Granger – iHuman 1 Medication ALT – Assigned by clinical instructor Your patient is a 69-year-old...

Granger – iHuman

1 Medication ALT – Assigned by clinical instructor

Your patient is a 69-year-old male who was admitted to the medical unit from his cardiologist’s office for heart failure exacerbation.

What are your primary concerns for this patient, what assessments and interventions would be associated with your concerns, and why?

What do you anticipate the patient’s home medications prior to admission might be and why?

What medications do you anticipate the health care provider would prescribe while the patient is in the hospital and why?

Solutions

Expert Solution

Primary concerns for a heart failure patients may include -

1) Abnormal heart rhythm - Atrial fibrillation.

2) Heart valves problem - Blood is pumped through valves but when patient goes in heart failure condition then heart have to work harder and these valves can damage or can change in size.

3) Kidney damage or failure - kidneys removes waste products from body and required blood but when enough blood won't reach kidneys then they can get damaged or can lead to kidney failure

4) Liver problems - liver breaks down toxins for removal from body and when heart failure condition is there, then portal vein pressure builds and increases then it may scar the liver.

5) Lung problems - heart failure can lead to pulmonary odema.

6) Obesity

7) Hypertension

8) Diabetes

9) Coronary artery disease.

Heart failure may get worse over time if we don't treat it. Severe heart failure can be life threatening.

medications required for heart patients include -

Aspirine- Low dose aspirin has anti platelet aggregation property, so it is helpful in stroke patients.

sodium nitropruside is the choice of drug in heart failure patients.

Digioxin, Diuretics, Low sodium diet, Exercise, Stop smoking, Beta blockers, Angiotensin receptor blockers, Vasodialators can be given to heart failure patients.

Vasodialators are given because they cause Vasodialation so that work load on heart reduces.

Beta blockers help in reducing high blood pressure, high pulse rate etc

Diuretics reduces extra water and help in maintaining blood pressure

ACE inhibitors help in relaxing blood vessels, lowers BP and prevents diabetes related kidney damage.

Antianginal drugs - help in reducing chest pain or pressure caused by blockages.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

The clinical instructor has assigned a group of students to work with patients on a special...

The clinical instructor has assigned a group of students to work with patients on a special nursing unit that treats women with postpartum depression. The instructor assigns the following questions as part of the preclinical preparation. a) What is depression, and what is the current biogenic theory for the causes of depression? b) Describe the actions of these classes of antidepressants: TCA MAO inhibitors SSRI’s

A 92-year-old woman in a long-term care facility is a patient assigned to your care. With...

A 92-year-old woman in a long-term care facility is a patient assigned to your care. With visible discomfort, she tells you that she has noticed blood in the toilet bowl with her last several bowel movements and she has had blood on her underwear. What other questions should you ask this woman to clarify potential causes of this problem? Ex-plain how the patient’s age might affect your focused assessment. 2. Over 50 studies have been conducted on the connection betweenexerciseand...

The nursing students are discussing patient safety during a clinical experience. The clinical instructor mentions that...

The nursing students are discussing patient safety during a clinical experience. The clinical instructor mentions that the hospital is interested in addressing The Joint Commission’s patient safety goals are associated with the use of health information technology (Learning Objective: 6). Which Joint Commission safety goals are directly related to health information technology? How can a group of nursing students impact the recommendations concerning alarm safety cited by the Joint Commission?

Clinical judgement in prescribing includes a. Factoring in the cost to the patient of the medication...

Clinical judgement in prescribing includes a. Factoring in the cost to the patient of the medication prescribed b. Always prescribing the newest medication available for the disease process c. Handing out drug samples to poor patients d. Prescribing all generic medications to cut costs

For this discussion, your instructor will assign you to Patient A or Patient B. Patient A...

For this discussion, your instructor will assign you to Patient A or Patient B. Patient A is a 22-year-old female survivor of Stage II Hodgkin lymphoma treated with radiation and chemotherapy. Patient B is a 60-year-old male survivor of colon cancer treated with a colon resection and sigmoid colostomy, chemotherapy, and radiation therapy. For your assigned patient: Identify 2 interventions the nurse will include on the survivorship plan of care that will address health promotion and management of comorbid conditions....

Mr. Tan is a 69-year-old patient who is admitted from the Emergency Room with a diagnosis...

Mr. Tan is a 69-year-old patient who is admitted from the Emergency Room with a diagnosis of hypokalemia after 48 hours of vomiting, and diarrhea. The patient's potassium level is 2.9 upon admission. The patient's creatinine level is 0.9 mg/dL and the BUN is 10 mg/dL. As the primary nurse, use the SBAR mnemonic to contact the attending physician for desired orders to care for Mr. Tan. The admitting resident asks you if the ER physician checked a magnesium level....

You are assigned to care for a patient receiving atropine. Prepare a medication card that describes...

You are assigned to care for a patient receiving atropine. Prepare a medication card that describes the therapeutic actions, indications, pharmacokinetics, contraindications, the most common adverse reactions, and the important drug–drug interactions of atropine.

You are a student nurse assigned to a 57 year old male patient has come to...

You are a student nurse assigned to a 57 year old male patient has come to medical ward to have treatment due to mild to severe cramping in his abdomen and bloody stool. Your initial findings include a mildly obese man who demonstrate guarding of his abdomen especially the left lower quadrant. His vital signs are 168/98, 119,24, 38 degree Celsius and is slightly diaphoretic. He reported periodic constipation. He has had previous episodes of abdominal cramping, but this time...

A 69-year-old retiree was diagnosed 5 years ago with type 2 diabetes. The patient is 5.7’...

A 69-year-old retiree was diagnosed 5 years ago with type 2 diabetes. The patient is 5.7’ tall, weighs 178lb and has a waist measuring 40inches. He gets up multiple times during the night to use the restroom, especially after large pasta meals. He may feel unusually thirsty from time to time. Lately he has also been feeling unusually tired and fatigued. He has been unsuccessfully trying to lose weight for the past 6 months. He is not monitoring his sugar...

Your clinical instructor has asked you to prepare a talk on insulin glargine (Lantus) for your clinical group.

Your clinical instructor has asked you to prepare a talk on insulin glargine (Lantus) for your clinical group. What information will you include in your presentation?

Subjects