NSG 2101: Pathophysiology- Congestive Heart Failure- Nursing Case Study Assignment Task: Part A:…

NSG 2101: Pathophysiology- Congestive Heart Failure- Nursing Case Study Assignment Task: Part A:For the given case study, design a concept map and work through EACH of steps 1- 3 of the clinical reasoning cycle to demonstrate an understanding for the physiology presented in the case study. Part B:Using your work from Part A, DISCUSS the comprehensive care of this patient incorporating each of the above learning outcomes. Identify three (5) PRIORITISED nursing problems. For EACH nursing problem, DESCRIBE the specific nursing activities, goals, rationales, and evaluations that you would incorporate when caringfor this patient. Using evidence-based practice, research your interventions to ensure best practice in your nursing care. Case Study: M.G, a 68 year old female with frequent hospital presentations is admitted from the emergency department (ED) with a diagnosis of congestive heart failure (CCF). She was discharged from the hospital 11 days ago (March 12th 2018) and comes in today stating, “I just had to come to the hospital today because I can’t catch my breath, my legs are as big as tree trunks and I am having difficulty walking.” After further questioning, you learn she has not been strictly following the fluid and salt restriction ordered during her last hospital admission and has not been compliant with her medication. You note that she has gained 5 kgs since her discharge. Past medical history:HTAMI 4 years agoChronic renal failureType 2 Diabetes MellitusHyperlipidaemia Family HistoryMother, died at age 65 years of CVAFather, died at age 67 years of acute myocardial infarction (AMI)Sister, alive and well, age 62 yearsBrother, alive, age 70 years, has coronary artery disease, HTN, type II diabetesmellitus (DM) Patient Past HistoryMarried for 45 years, two children, alive and well, six grandchildrenCholecystectomy, age 42 years Hysterectomy, age 48 years Recent Blood Pressure Assessments:January 2: 150/92January 31: 156/94 (commenced on hydrochlorothiazide [HCTZ] 25 mg PO daily)February 28: 140/90 Current observations: P 122 irregular, BP 160/100, RR 26, T 37.3 C O2 Sats 93% on room air. Widespread crepitations on chest auscultation. Sweaty. Chest X Ray shows widespread consolidation and cardiomegaly. Atrial Fibrillation on ECG newly diagnosed. Apical pulse is fast and thready.Skin colour is pink. Oedema present ++ Nursing Assessment:Prescribed Medications:Captopril 25mg PO dailyHydrochlorothiazide [HCTZ] 25 mg PO every morning)Enalapril (Vasotec) 5 mg PO BDFurosemide (Lasix) 40 mg/ twice daily POPotassium chloride 20 mEq/day PO Laboratory Test Results (Fasting)Potassium 5.3 mEq/LSodium 145 mEq/LChloride 100 mEq/LBicarbonate 27 mEq/LGlucose 11.2 mmolCreatinine 4.5 mg/dLBUN 43 mg/dLMagnesium 1.9 mEq/ Radiology ResultsCXR shows cardiomegaly and pulmonary congestion ++

Don't use plagiarized sources. Get Your Custom Essay on
NSG 2101: Pathophysiology- Congestive Heart Failure- Nursing Case Study Assignment Task: Part A:…
For as low as $13/Page
Order Essay

Leave a Reply

Your email address will not be published. Required fields are marked *

*

*

*