Mini care plan using a completed case study

Mini care plan using a completed case study ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Mini care plan using a completed case study Heart Failure Care plan https://coursewareobjects.elsevier.com/objects/elr/Lewis/medsurg8e/casestudy/main.php?ch=35 Please complete this as a mini weekly care plan. Please include three priority nursing diagnosis, EACH DIAGNOSIS NEED THREE NURSING INTERVENTIONS. This assignment is due on 3/29/20 at 6:59 pm. https://quizlet.com/371003418/ pt-with-heart-failure-flash- cards/ THIS IS THE QUIZLET LINK THAT ANSWERS ALL THE QUESTION IN THE CASE STUDY, THE OTHER QUESTIONS I ANSWERED IN THE ATTACHED DOCUMENT. I WOULD ADVISE GOING THROUGH THE CASE STUDY FOR BETTER UNDERSTAND. THIS IS A MINI CAREPLAN. Mini care plan using a completed case study weeklyclinicalwriteupform__1_.doc untitled_document__1_.pdf Weekly Clinical Write Up (to be completed by the end of your clinical day) STUDENT_________________________PATIENT INITIALS____________ROOM NUMBER__________DATES___ Primary MEDICAL DIAGNOSIS: ______________________________________ Secondary __________________________________ Chief Complaint Past Medical History Assessment Data: Physiological Psychological Socioeconomic Cultural Spiritual Pharmacology: Home: Hospital Diagnostic Data: Laboratory studies ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION Objective/outcome . ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION Objective/outcome . Weekly Clinical Write Up (to be completed by the end of your clinical day) STUDENT_________________________PATIENT INITIALS____________ROOM NUMBER__________DATES___ Primary MEDICAL DIAGNOSIS: ______________________________________ Secondary __________________________________ Chief Complaint Past Medical History Assessment Data: Physiological Psychological Socioeconomic Cultural Spiritual Pharmacology: Home: 1/2019 Hospital Diagnostic Data: Laboratory studies 1/2019 ASSESSMENT NURSING DIAGNOSIS PLANNING Objective/outcome . 1/2019 IMPLEMENTATION ASSESSMENT NURSING DIAGNOSIS PLANNING Objective/outcome . 1/2019 IMPLEMENTATION Overview Heart failure is an abnormal clinical condition involving impaired cardiac pumping. It is characterized by ventricular dysfunction, reduced exercise tolerance, diminished quality of life, and shortened life expectancy. Several factors predispose patients to the development of heart failure. Any factor that interferes with the normal mechanisms of cardiac output can lead to heart failure. Heart failure is classified according to pathology (systolic or diastolic), the part of the heart affected (right- or left-sided failure), the person’s tolerance to physical activity (New York Heart Association Functional Classification), and the absence or presence of ventricular dysfunction along with severity of symptoms (ACC/AHA Stages of Heart Failure). Collaborative management of patients with heart failure includes nonpharmacologic, pharmacologic, and nutritional therapies. Complications arising from heart failure include pleural effusion, dysrhythmias, left ventricular thrombus, hepatomegaly, and renal failure. Objectives ? Identify risk factors associated with heart failure. ? Describe the pathophysiologic changes related to heart failure. ? Prioritize assessment of a patient exhibiting an exacerbation of heart failure. ? Evaluate diagnostic tests used for patients with heart failure. ? Discuss drug management appropriate for a patient with heart failure. ? Appropriately delegate care of a patient with heart failure. ? Formulate a teaching plan for a patient with heart failure. Case Study R.K. is a 68-year-old white woman with a history of type 2 diabetes, hypertension, hyperlipidemia, and coronary artery disease (CAD). She has had two myocardial infarctions, or MIs, over the past several years. She smoked two packs of cigarettes for 30 years, quitting after her first MI 4 years ago. She has been overweight most of her life and has no regular exercise except for household duties.Mini care plan using a completed case study R.K.’s current drug regimen includes ezetimibe/simvastatin (Vytorin) 10/40 mg/day, indapamide (Lozol) 2.5 mg/day, and losartan (Cozaar) 50 mg bid. She has scheduled an appointment with the nurse practitioner at the local health care clinic. R.K.’s symptoms of paroxysmal nocturnal dyspnea, dyspnea with exertion, weight gain, and fatigue suggest that she has some degree of heart failure. Admission orders include: Stat ECG, chest X-ray, CK-MB, troponin, serum electrolytes, BNP, aPTT, PT/INR, Heparin drip following weight-based nomogram (to be discontinued if MI is ruled out), and nesiritide (Natrecor) 2 mcg/kg IV bolus followed by 0.01 mcg/kg/minute continuous IV nesiritide (Natrecor) infusion. Sodium 140 mEq/L Potassium 3.9 mEq/L Chloride 108 mEq/L Bicarbonate 24 mEq/L BUN 18 mg/dl Creatinine 1.0 mg/dl Glucose 145 mg/dl Calcium 7.2 mg/dl BNP 856 pg/ml CK-MB 5.2% Troponin less than 0.1 ng/ml Digoxin level 1.0 mcg/dl aPTT 35 seconds – non-t PT 12.2 seconds non-t INR 1.2 – therapeutic non-t Nesiritide is a recombinant form of human BNP that is secreted during acute decompensated heart failure, causing vasodilation and diuresis. SE – hypotension, dysrhythmias, nausea/vomitting, headache, abdominal pain, dizziness, insomnia, anxiety, backpain Digoxin will help your heart beat stronger. You will need to take your pulse every day. Hold the drug and call your doctor if your pulse is less than 60 or greater than 110 bpm. Call the doctor if you develop any of the following symptoms of toxicity: nausea, vomiting, diarrhea, yellow vision, visual halos around objects, blurred vision, or loss of appetite. Take the drug at the same time each day. Do not take with food high in fiber since this will decrease absorption of the drug. Do not change brand names of this medicine. *Daily weights – Important to identify fluid retention *Space activities with rest periods – To provide energy conservation *Self-monitoring of blood pressure – To identify need to change antihypertensive medications *Sodium-restricted diet – To prevent excess fluid retention *5 lb in 1 week or 2 lb in 1 day – Amount of weight gain to report to the doctor … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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