A 74 year old woman is admitted to the hospital with heart failure. She complains of...
A 74 year old woman is admitted to the hospital with heart failure. She complains of progressive weakness, ankle edema and dyspnea on exertion. On admission, she is severely dyspneic and can only answer with one word phrases. She is diaphoretic, heart rate 153 beats per min, blood pressure 100/72 mm Hg. She is extremely anxious. The physician orders a treatment plan to start an IV, push furosemide (Lasix) 40mg IV stat, digoxin 0.5 mg orally stat, morphine 2 mg IV stat, oxygen 4L min per nasal cannula, no added salt diet, weigh daily, monitor intake and output.
1. Explain the priority assessments upon admission.
2. Explain the symptoms the patient is a having related to the congestive heart failure.
Homework Answers
Answer: The priority assessment includes:
- Monitor the heart rate.
- Assessing fluid volume.
- Provide oxygen support ( ventilation)
The symptoms related to congestive heart failure are:
- Increased heart rate( more than the normal)
- Ankle edema
- Unable to speak properly
- Dyspnea
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A 74 year old woman is
admitted to the hospital with heart failure. She complains of...
A 74 year old woman is admitted to the hospital with heart failure. She had been growing progressively weaker, has ankle...
A 74 year old woman is admitted to the hospital with heart failure. She had been growing progressively weaker, has ankle edema and dyspnea on exertion. On admission, she is severely dyspneic and can only answer with one word phrases. She is diaphoretic, heart rate 153 beats per min, blood pressure 100/72 mm Hg. She is extremely anxious. The physician orders a treatment plan to start an IV, push furosemide (Lasix) 40mg IV stat, digoxin 0.5 mg orally stat, morphine...
A 74-year-old woman was admitted to the hospital with heart failure. She had been growing progressively...
A 74-year-old woman was admitted to the hospital with heart failure. She had been growing progressively weaker and also had ankle edema, dyspnea on exertion, and three pillow orthopnea. On admission, she is severely dyspneic and can answer questions only with one-word phrases. She is diaphoretic, with a respiratory rate of 28/min, heart rate of 132 beats/min, and BP 98/70. Her oral temperature is 36.7 C and her SaO2 89%. She is extremely anxious. The nurse applies immediately oxygen at...
A 74-year-old woman was admitted to the hospital with heart failure. She had been growing progressively weaker and also...
A 74-year-old woman was admitted to the hospital with heart failure. She had been growing progressively weaker and also had ankle edema, dyspnea on exertion, and three pillow orthopnea. On admission, she is severely dyspneic and can answer questions only with one-word phrases. She is diaphoretic, with a respiratory rate of 28/min, heart rate of 132 beats/min, and BP 98/70. Her oral temperature is 36.7 C and her SaO2 89%. She is extremely anxious. The nurse applies immediately oxygen at...
A 74-year-old woman was admitted to the hospital with heart failure. She had been growing progressively weaker and also...
A 74-year-old woman was admitted to the hospital with heart failure. She had been growing progressively weaker and also had ankle edema, dyspnea on exertion, and three pillow orthopnea. On admission, she is severely dyspneic and can answer questions only with one-word phrases. She is diaphoretic, with a respiratory rate of 28/min, heart rate of 132 beats/min, and BP 98/70. Her oral temperature is 36.7 C and her SaO2 89%. She is extremely anxious. The nurse applies immediately oxygen at...
A 74-year-old woman was admitted to the hospital with heart failure. She had been growing progressively weaker and also...
A 74-year-old woman was admitted to the hospital with heart failure. She had been growing progressively weaker and also had ankle edema, dyspnea on exertion, and three pillow orthopnea. On admission, she is severely dyspneic and can answer questions only with one-word phrases. She is diaphoretic, with a respiratory rate of 28/min, heart rate of 132 beats/min, and BP 98/70. Her oral temperature is 36.7 C and her SaO2 89%. She is extremely anxious. The nurse applies immediately oxygen at...
A 74-year-old woman was admitted to the hospital with heart failure. She had been growing progressively weaker and also...
A 74-year-old woman was admitted to the hospital with heart failure. She had been growing progressively weaker and also had ankle edema, dyspnea on exertion, and three pillow orthopnea. On admission, she is severely dyspneic and can answer questions only with one-word phrases. She is diaphoretic, with a respiratory rate of 28/min, heart rate of 132 beats/min, and BP 98/70. Her oral temperature is 36.7 C and her SaO2 89%. She is extremely anxious. The nurse applies immediately oxygen at...
1. George Brown, 72 years of age, is a male patient who is admitted with the...
1. George Brown, 72 years of age, is a male patient who is admitted with the diagnosis of acute pulmonary edema secondary to acute left ventricular heart failure. The patient has a history of coronary artery disease that has been treated medically. The patient is anxious, pale, cold, clammy, and dyspneic. The vital signs are: blood pressure 88/50 mm Hg, heart rate 110 bpm, respiratory rate 32 breaths/min, and temperature 97°F. There are bubbling crackles and wheezing throughout the lung...
Case Study, Chapter 29, Management of Patients with Complications From Heart Disease 1. George Brown, 72...
Case Study, Chapter 29, Management of Patients with Complications From Heart Disease 1. George Brown, 72 years of age, is a male patient who is admitted with the diagnosis of acute pulmonary edema secondary to acute left ventricular heart failure. The patient has a history of coronary artery disease that has been treated medically. The patient is anxious, pale, cold, clammy, and dyspneic. The vital signs are: blood pressure, 88/50 mm Hg, heart rate, 110 bpm; respiratory rate, 32 breaths/min;...
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2. Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three myocardial infarctions in the last 10 years, he has decreased left ventricular function. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. Today he presents to the emergency department with fatigue, generalized weakness, and feelings of"skipping" heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are assessed, and an IV is inserted. He currently denies chest pain, but...
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Seuss 2. Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three myocardial infarctions in the last 10 years, he has decreased left ventricular function. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. Today he presents to the emergency department with fatigue, generalized weakness, and feelings of "skipping" heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are assessed, and an IV is inserted. He currently denies chest...
1. George Brown, 72 years of age, is a male patient who is admitted with the diagnosis of acute pulmonary edema secondary to acute left ventricular heart failure. The patient has a history of coronary artery disease that has been treated medically. The patient is anxious, pale, cold, clammy, and dyspneic. The vital signs are: blood pressure 88/50 mm Hg, heart rate 110 bpm, respiratory rate 32 breaths/min, and temperature 97°F. There are bubbling crackles and wheezing throughout the lung...
Case Study, Chapter 29, Management of Patients with Complications From Heart Disease 1. George Brown, 72 years of age, is a male patient who is admitted with the diagnosis of acute pulmonary edema secondary to acute left ventricular heart failure. The patient has a history of coronary artery disease that has been treated medically. The patient is anxious, pale, cold, clammy, and dyspneic. The vital signs are: blood pressure, 88/50 mm Hg, heart rate, 110 bpm; respiratory rate, 32 breaths/min;...
2. Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three myocardial infarctions in the last 10 years, he has decreased left ventricular function. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. Today he presents to the emergency department with fatigue, generalized weakness, and feelings of"skipping" heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are assessed, and an IV is inserted. He currently denies chest pain, but...
Seuss 2. Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three myocardial infarctions in the last 10 years, he has decreased left ventricular function. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. Today he presents to the emergency department with fatigue, generalized weakness, and feelings of "skipping" heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are assessed, and an IV is inserted. He currently denies chest...
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