Case Study of an Acute Life-Threatening Condition - Medical Science Assignment Help

Assignment Task

Case study:

Mr. Aloha Das is a 68-year-old gentleman presenting to the emergency department at 0400hrs with worsening shortness of breath. Onset 2 days ago and progressively worsening.He also developed wheeze and right sided pleuritic chest pain this morning. Vomited x1, ongoing nausea. Has history of non-compliance with medication and adherence to fluid restriction.

Aim of assessment:

The aim of this assessment is to enable students to:

1. Demonstrate knowledge by analysing the information provided in the case study.

2. Apply the clinical information provided in the case study and describe this clinical information within a pathophysiological and patient focused framework.

3. Discuss nursing strategies and evidence-based rationales to manage a patient with acute heart failure.

4. Discuss the pharmacological interventions related to the management of a patient with acute heart failure.

Question 1:

In order to prioritise your nursing actions, you are expected to have a sound understanding of the pathogenesis and pathophysiology.

• Explain the pathogenesis and pathophysiology causing the clinical manifestations with which Mr Das presents.

Question 2:

Choose One high priority nursing intervention that you will perform for Mr Das.

• Briefly explain why you chose this nursing intervention.
• Explain how the nursing intervention will alleviate the clinical features of Mr Das using physiological linking.
• Describe briefly the impact of not performing the intervention.

Question 3:

Mr Das has been prescribed Furosemide 40mg IV Stat and Glyceryl Trinitrate IV Infusion 10 mcg/min starting rate.

For both medications explain.

• The mechanism of action.
• Why your patient is receiving this medication in relation to his symptoms and diagnosis?
• What are the nursing considerations for this medication?
• What clinical response you expect?
• What continuing clinical observations will you need to undertake?

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