Congestive Heart Failure Question & Answer Guide (With Explanation)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to congestive heart failure and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves congestive heart failure. A strong answer should include explanation, application, and examples.
Original Question
Congestive Heart Failure Case Study Objectives: At the end of this lecture the student will be able to: 1. Define congestive heart failure 2. Describe the signs and symptoms of congestive heart failure (CHF) 3. List nursing interventions for this patient Molly Sawyer is a 66 year old female that arrives in the Emergency Room per EMS. She complains of shortness of breath for 1 week which seems to have gotten worse today. Ms. Sawyer complains of persistent cough especially at night and an inability to lay flat without feeling suffocated. Allergies: NKDA Medications: Metoprolol Digoxin Insulin 70/30 and Regular History: DM (Diabetes Mellitus) HTN Heart problems Assessment: Nailbeds dusky Sitting upright Difficulty catching breath while talking Skin cool and moist 3+Ankle edema Crackles noted right middle lobe and lower lobes bilaterally Vital Signs: Lab values: BP 218/110 Na 135 HR 120 K 3.9 RR 36 Hgb 12.5 T 38.1 Wt 198lb (up 7 lbs from 1 mo ago) Hct 33% Dig 0.6 ABGs (RA) Creat 1.9 ph 7.48 BUN 10 paCo2 30 paO2 80 Sao2 95% Hco3 24 CXR Bilateral pulmonary congestion 12 Lead EKG Sinus tachycardia with occasional PVCS Old Anterior MI Now, utilizing the information from the first page and utilizing your text as a reference, answer the following questions. 1. From the patient’s chief complaint and your initial assessment, what is the patient’s primary nursing diagnosis? 2. Describe the pathophysiology of CHF (congestive heart failure). 3. What are the signs and symptoms of left sided heart failure? What are the signs and symptoms of right sided heart failure? 4. Name at least 3 pharmacologic agents that are used to improve cardiac performance in patients with CHF and describe how they work to improve cardiac function? 5. What factors contribute to this particular patient’s heart failure? 6. Name at least 5 nursing interventions for a patient with heart failure. What can the nurse do to make Molly feel better? 7. Based on Molly’s ABG’s, which acid base imbalance is she experiencing? Citations:
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