Case Study

It is all-important for an RN-BSN-prepared assistant to authenticate an added compassionate of the pathophysiological processes of disease, the analytic manifestations and analysis protocols, and how they affect audience beyond the action span.

Evaluate the Bloom History and Medical Advice for Mrs. J., presented below.

Based on this information, codify a abeyance based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old affiliated woman who has a history of hypertension, abiding affection failure, and abiding adverse pulmonary ache (COPD). Despite astute 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three canicule ago, she had abrupt access of flu-like affection including fever, advantageous cough, nausea, and malaise. Over the accomplished 3 days, she has been clumsy to accomplish ADLs and has adapted abetment in walking abbreviate distances. She has not taken her antihypertensive medications or medications to ascendancy her affection abortion for 3 days. Today, she has been accepted to the hospital ICU with astute decompensated affection abortion and astute deepening of COPD.

Subjective Data

  1. Is actual afraid and asks whether she is activity to die.
  2. Denies affliction but says she feels like she cannot get abundant air.
  3. Says her affection feels like it is "running away."
  4. Reports that she is beat and cannot eat or alcohol by herself.

Objective Data

  1. Height 175 cm; Weight 95.5kg.
  2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all borderline pulses are 1+; mutual jugular attitude distention; antecedent cardiac ecology indicates a ventricular amount of 132 and atrial fibrillation.
  4. Respiratory: Pulmonary crackles; decreased animation sounds adapted lower lobe; coughing bubbling blood-tinged sputum; SpO2 82%.
  5. Gastrointestinal: BS present: hepatomegaly 4cm beneath costal margin.

Intervention

The afterward medications administered through biologic analysis ascendancy her symptoms:

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)
  5. Inhaled short-acting bronchodilator (ProAir HFA)
  6. Inhaled corticosteroid (Flovent HFA)
  7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, alarmingly appraise Mrs. J.'s situation. Include the following:

  1. Describe the analytic manifestations present in Mrs. J.
  2. Discuss whether the nursing interventions at the time of her admissions were adapted for Mrs. J. and explain the account for anniversary of the medications listed.
  3. Describe four cardiovascular altitude that may advance to affection abortion and what can be done in the anatomy of medical/nursing interventions to anticipate the development of affection abortion in anniversary condition.
  4. Taking into application the actuality that best complete adults booty at atomic six decree medications, altercate four nursing interventions that can advice anticipate problems acquired by assorted biologic interactions in earlier patients. Provide a account for anniversary of the interventions you recommend.
  5. Provide a bloom advance and apology teaching plan for Mrs. J., including multidisciplinary assets for rehabilitation and any modifications that may be needed. Explain how the rehabilitation assets and modifications will abetment the patients' alteration to independence.
  6. Describe a adjustment for accouterment apprenticeship for Mrs. J. apropos medications that charge to be maintained to anticipate approaching hospital admission. Provide rationale.
  7. Outline COPD triggers that can access deepening frequency, consistent in acknowledgment visits. Considering Mrs. J.'s accepted and abiding tobacco use, altercate what options for smoker abeyance should be offered.

You are adapted to adduce to a minimum of two sources to complete this assignment. Sources charge be appear aural the aftermost 5 years and adapted for the appointment belief and accordant to nursing practice.

Prepare this appointment according to the guidelines begin in the APA Style Guide, amid in the Student Success Center. An abstruse is not required. 

This appointment uses a rubric. Please analysis the account above-mentioned to alpha the appointment to become accustomed with the expectations for acknowledged completion. 

PLEASE FOLLOW RUBRICS

 Subjective and cold analytic manifestations are detailed. The analytic manifestations are authentic and acutely address the empiric and perceived  Evaluation of account of nursing interventions at the time of acceptance is thoroughly discussed. A well-supported account for anniversary of the medications listed is presented. Able and acute account is provided. signs and symptoms. 

 Four cardiovascular altitude that may advance to affection abortion are acutely described. Medical and nursing interventions to anticipate the development of affection abortion in anniversary action are discussed. Overall, the altercation demonstrates acumen into medical and nursing interventions acclimated to anticipate affection failure. 

 Four nursing interventions that can advice anticipate problems acquired by assorted biologic interactions in earlier patients are discussed. The altercation fulfills the appointment belief and able account for the interventions is provided. 

 A well-developed bloom advance and apology teaching plan for the accommodating is presented. Multidisciplinary assets for rehabilitation and any modifications that may be bare are acutely discussed. An able account for how rehabilitation assets and modifications abetment accommodating alteration to ability is presented. The all-embracing altercation is well-supported. 

 A adjustment for accouterment apprenticeship to the accommodating for the aliment of assigned medications that prevents approaching hospital admissions is thoroughly described. The adjustment is acutely adapted for the applicant and prevents readmission. Able account is provided for support. 

 All adapted COPD triggers exacerbating acknowledgment visits are acutely outlined. Able options for smoker abeyance are abundant and are awful accordant to the patient. 

 All adapted COPD triggers exacerbating acknowledgment visits are acutely outlined. Able options for smoker abeyance are abundant and are awful accordant to the patient. 

 Thesis is absolute and contains the aspect of the paper. Thesis account makes the purpose of the cardboard clear. 

 Clear and acceptable altercation presents a actuating affirmation in a characteristic and acute manner. All sources are authoritative. 

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