What nursing interventions are appropriate for Mrs. J. at the time of her admission?

What nursing interventions are appropriate for Mrs. J. at the time of her admission?

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What nursing interventions are appropriate for Mrs. J. at the time of her admission?

1.Oxygen – increase O2 circulation

2.Administer diazepam or any anxiolytic as ordered. This will enable the patient to calm down

3.Low stimuli environment – pt is anxious

4.TED hose and SCDs – reduce edema, increase circulation

5.Non-slip socks, bedside commode, fall precautions – diuretic will have her up often to use the restroom; pt is high fall risk

6.Incentive spirometer – remove fluid from lungs to prevent/reverse pneumonia

7. Chaplin – further calm anxious pt

Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

Medications:

IV furosemide (Lasix): It reduces extravascular volume by inducing diuresis hence decrease preload and the work of the heart in pumping blood hence prevent progression of heart failure. That is Lasix is a diuretic that releases excess fluid, thus reducing strain on the circulatory system (Howard, 2001).

Enalapril (Vasotec): This medication is an antihypertensive which causes vasodilation of peripheral vessels decreasing afterload resistance hence effective in heart failure. Its help to lower blood pressure, increase cardiac output and exercise tolerance without changing the heart rate (Gierrthmuehlen, 2016).

Metoprolol (Lopressor-it’s a beta blocker and usually used to treat high blood pressure, chest pain, and heart stress after a heart attack due to its antagonistic effect on of beta receptors on the heart. It slows the heart rate, allowing the left ventricle to fill more completely. The slowing of the heart (or the conduction through the AV nodes) helps to regulate A fib. A slower heart rate will assist the pt to feel less anxious.

IV morphine sulfate (Morphine) is a narcotic analgesic use to manage pain. It also increases O2 supply to the heart while decreasing the heart’s O2 demand.

Describe four cardiovascular conditions that may lead to heart failure

High blood pressure- Uncontrolled BP is a high-risk factor for developing CHF. When pressure is blood vessels is too high the heart has to pump harder than normal to keep up, and over time it causes the heart to get weaker.

Nursing interventions:

Ensure all home medication is on the MAR. Verify the medications with MD and adhere to BP protocol ordered by MD.

Education is the key: Educate pt to be compliance with all medications ordered by MD.

Smoking is a major risk factor for the development of coronary heart disease. CAD is a leading cause of heart failure and also the death of some pa