Chronic Heart Failure Exacerbation Preparation Questions 1. List the risk factors for chronic left-sided heart failure related to coronary artery disease. Coronary Artery disease‚ Hypertension‚ Substance abuse‚ Dysrhythmias‚ Diabetes mellitus‚ Smoking/tobacco use‚ Obesity 2. Explain the cause of the compensations for chronic heart failure. Insufficient cardiac output causes compensatory mechanisms work to improve cardiac output. They include‚ sympathetic nervous system stimulation‚ Renin=angiotensin
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Tara is a 32yo‚ G3 P2002‚ who is currently 22 weeks 2 days. She follows in the High Risk Obstetrical Clinic secondary to a history of chronic HTN. She also has a history of preeclampsia in both her prior pregnancies. She reports that her high BP developed in her 1st pregnancy. Around 2 years later she had a stroke that she reportedly thinks was related to uncontrolled HTN. There has been some question in her history about a thrombophilia specifically factor V Leiden‚ although we do have a negative
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Mary and Jason‚ As you both know I’m working at RLC tonight and I just had a question/suggestion on charting‚ like we do on the floor. I like to believe that if the CNA’s could chart on CPSI (ADL) things wouldn’t get overlooked like Incontinency. Like resident in room 216-2 is incontinent during the night but not on days‚ the other aids and some nurses had no idea that this was a thing. It would help reduce fall risks by having the aid chart safety every time they go in a room. To assure that
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Patient X’s doctor has been trying to convince him to practice better lifestyle habits to for several years to help combat his hypertension (on antihypertensive medication for 3 years)‚ diabetes (6 years) and growing waistline. A recent routine check-up revealed a deterioration of his lipid profile (TC 260‚ TG 310‚ HDL 29‚ LDL 170) and fasting glucose of 172. Patient X is 55 years old‚ weighs 245 lbs and he is 5’10 . 1) Hypertension: Weight control to lower the risks associated with hypertension
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Failure to follow nursing standards of care is one of the six major causes of nursing malpractice. These standards may be part of a state nurse practice act‚ the hospital procedure and policies‚ a job descriptions‚ or recommendations of a professional national nursing organization (Reising‚ 2007). Examples in general nursing include (Reising‚ 2012): • Failure to follow proper safety protocols established by the health care facility • Failure to give certain medications in a timely and reasonable
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Do assessment on Susan’s living environment and avoid any physical barriers‚ especially on the floor. Rationale: It is necessary to keep the living environment safe and tidy to Susan away from walking obstacles such as furnitures and household utensils‚ which will increase the risk of falling to Susan and resulting in hip dislocation due to flexing hip. Susan must not lean forward and downward over 90 degrees and avoid high risk position. Rationale: According to “the 90-degree rule”‚ patient who
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Asthma effects over 2 million Americans and presents in various forms depending on the individual’s number of events (Woo & Wynne‚ 2011). Classification of the frequency of one’s symptoms and use of medications indicate the level of control one has of their asthma. S.E.’s documented history of “mild persistent” asthma and presentation of symptoms requiring the use an albuterol inhaler daily‚ in addition to hospitalization twice in a year and frequent emergency department visits (ED) identify asthma
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As a future adult/gerontology nurse practitioner (AGNP)‚ my role will be focusing on helping patients to manage chronic illnesses‚ illness prevention‚ and health promotion. In addition‚ The AGNP collaborate with other health care providers such as physicians and specialist to better manage and treat patient illness. The problem am really interested in researching is catheter-associated urinary tract infections (CAUTIs) in older adults. Working as a registered nurse in a medical/surgical unit I have
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Intervention Plan The most important goal for Emilia is for her to continue her sobriety. It is important for her not use drugs for her biological‚ psychological‚ social‚ and spiritual aspects of her life. The first goal Emilia and I would agree upon is going to ninety twelve step meetings like AA or NA consecutively for at least ninety days. This is an excellent way to tackle the behaviors and compulsion influencing her addiction. This social resource also gives Emilia an opportunity to establish
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with any nurse involve in the care of the congestive heart failure patient. The ethical implication is that the patient has the right to refuse‚ but the education must be offered. The intervention plan proposed is that a program that involves input from the hospital nurse to develop an education plan that satisfies the needs of the congestive heart failure. The plan must involve written material as a method to help the congestive heart failure patient to recall the important details of self-care
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