John Year Lived Assignment Help: How to Answer This Question
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Original Question
John Doe is a 78-year-old man who lived in supported accommodation until his physical condition deteriorated and he was admitted to your ward for assessment and potential aged care placement. Past History – Heart Failure (left-sided) Medications – Aspirin, Perindopril, Lasix. Assessment – Alert and orientated Nil complaints of pain Slightly cool to touch and pale Increased lethargy. Peripheral refill is less than 3 seconds for capillary beds on fingertips but 5 seconds to toes Oedema present to lower limbs Dorsalis pedis and posterior tibial pulses are absent Chest appearance normal Shortness of breath on exertion Persistent productive cough Vital signs: BP 110/61 HR 90 RR 22 O2 Saturation 95% Temp 36.6. Q1 a.Define left-sided heart failure b.List four (4) common signs and symptoms of left-sided heart failure (A “sign” is something you can see/hear/measure, a “symptom” is something the patient describes – be careful not to use medical diagnoses as a S/S) c.Describe the pathophysiology of each of your 4 listed signs and symptoms (Remember “pathophysiology” is how the disease affects the function i.e., due to severe dehydration, blood volume is reduced and therefore blood pressure) 2.Why does left sided heart failure often lead to right sided heart failure? Q3 After completing the respiratory assessment, explain what you heard and the cause of this sound. Q4 Describe why the patient is experiencing SOBOE (include in your answer why SOB doesn’t occur when he is resting)? (Think about which tissue group is used more with movement, what the tissue requires for this movement, and how meeting that requirement is impaired) Q5: What are contraceptives used for and how do they work? Q6:What are corticosteroids used for and how do they work? Q7: What are beta-blockers used for and how do they work? Q8: What are bronchodilators used for and how do they work? Q9: What are diuretics used for and how do they work? Q10: What are electrolytes used for and how do they work? Q11: How does Amiodarone work to control an arrhythmia or VT? Q12: How would you monitor a patient’s response to frusemide (Lasix)? Q13: Discuss why GTN might be prescribed to a patient with ischemic heart disease? Q14: Describe two (2) benefits of an inhaled corticosteroids? Q15: You are looking after a patient who is receiving Prednisolone 25mg. What nursing management exists for this patient? Q16: List and describe the two (2) ways that antibiotics act. Q18:Calculate the dose of vincristine in ml for a 4-yr-old with leukemia with a BSA of 0.67m2. The dose required in 2 mg/m2and the drug comes in 1 mg/mL concentration.
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