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Please help me to write some responds after you read this post ( I know you answer already, but your answer is not why I looking for. This is my class mate assignment. I need to get her some feedback or some responded how people do this post). Please give me some response for example how do you think or something like that

1. Paragraph #1: Patient’s age, sex, brief PMHx, explanation of a current medical situation

A patient is a 92-year-old female who has been diagnosed with congestive heart failure, asthma, and Pneumonia. She was admitted to Redmond Care and Rehab primarily with the respiratory problem in December 2017. She has a full code status of DNR. PMHx- Congestive Heart Failure, Asthma, Chronic kidney disease, Primary hypertension, and atrial fibrillation. Abdominal surgery was done during the birth of her first child. She does not remember the exact date and not found on the medical record.

2. Paragraphs #2: Clearly describes the application of medical-surgical concepts discussed in class thus far.

My patient has cardiac-related problems. Such as heart failure and atrial fibrillation. Heart failure is a complex clinical syndrome that results in the ability of the heart to provide sufficient blood to meet the O2 needs of tissues and organs. A defect in either ventricular filling (diastolic dysfunction) or ventricular ejection (systolic dysfunction) is the key manifestation of HF. HF is associated with numerous cardiovascular diseases (CVDs), particularly long-standing hypertension, coronary artery disease (CAD), and myocardial infarction (MI) (Lewis et al., 2017 p 734). Atrial fibrillation is the most common, clinically significant dysrhythmia with respect to morbidity and mortality rates and economic impact. Its prevalence increases with the patient age. It also is known as AF or Afib, is an irregular, rapid heart rate that may cause symptoms like heart palpitations, fatigue, and shortness of breath. My patient genetic African American background and her age increase the risk of developing cardiac. Because of all the above reasons, the patient cardiac out may be diminished, therefore as a nurse, we need to attend as we delivering care.

3. Paragraph #3: Clearly describes the application of pharmacology to clinical practice.

Carvedilol 6.25mg PO 1 tablet twice a day for HTN and heart failure

Furosemide/Lasix 40mg PO twice a day for CHF (fluid retention)

Potassium Chloride extended-release 10MEQ PO twice a day for Diuretic

Dextromethorphan-Guaifenesin 5ml PO every hour as needed for a cough.

Tiotropium Bromide monohydrate(capsule 18 MCG) 1 capsule PO One time a day for reactive airway disease.

Acetaminophen-codeine(300-30mg) 1 tablet PO For the relief of mild to moderately severe pain management in the morning.

Saccharomyces boulardii Capsule PO One time a day anti-inflammation for gastritis.

A patient is on a different kind of medication to treat her heart failure, HTN, AF, and asthma. Before administering the medication, the nurse needs to give attention, and take the vital signs to prevent any kind of side effect and harm. If any unusual vital signs are monitored, it is better to notify the provider. Generally, it is good to have a better understanding of the concepts of pharmacology in the nursing profession. If we have good knowledge of pharmacology we can to help our patient through the intervention. A patient is taking Carvedilol, a beta blocker that helps the heart to beat more slowly with less force. Again, this medication is taken to reduce hypertension as well.

Ex

Answer 1

Answer: African Americans people are at major risk of developing cardiovascular disease. The lady patient admitted to the hospital aged 92 years belongs to the community. She has congestive heart disease, pneumonia and asthma.

The healthcare professionals provides better treatment for the multiple diseases and the drug prescribed needs much teaching and education for the patient to avoid the drug interactions as well as adverse effects. Although the physician prescribed pain management drug but that doesn't mean patient should get used to it. The patient should bear the little pain and should not always dependent on the pain killer. Nurses also provide better teaching to the patient to avoid any kind of adverse effects of the drugs. Hypertension can be managed with the help of proper diet so nursing teaching also involves the intake of dietary supplements and healthy lifestyle.