NUR241: Chronic Heart Failure - Health Alterations - Mr. Smith Case Study Assessment Answer

Subject Code: NUR241 Internal Code: 1AFGJC

Mr. Smith Case Study Assessment Answer

Task: Step 1: Consider the case study below: Mr. Smith is a 70yr/old male who presented to his GP at 10 am today with an exacerbation of his CHF. He was complaining of chest pain that is pleuritic in nature, SOB, weakness, fatigue, hacking cough with bilateral bibasal coarse crackles. History: A: penicillin Meds: atorvastatin 20m Mane, frusemide 20 mg mane, Metformin XR 1000mg BD Past illnesses: hypercholesterolemia, MI, angina, hypertension, Increased BMI 34, T2DM Last meal: 7am (3hrs ago), bacon eggs, sausages toast and hash browns Events leading up to presentation: walking/gardening on his farming property 3 hours away from the nearest hospital His vital signs are a Temp 36.8, GCS 15, HR 105, NiBP- 170/90, Sp02- 92%, RR 24. Initial ECG displayed new abnormalities and initial blood showed a negative troponin of TNI: 0.02. He was given his regular meds and; 5mg IV morphine, 1gm paracetamol which reduced his pain to 2/10. PIVC in-situ R) ACF- patent. Step 2: Based on your assessment of the case study, identify2 health care priorities for your patient. Refer to the ABCDE framework to justify your decision. Step 3: Identify interventions (no more than 3 and at least one for each priority problem) to manage each priority. Provide a rationale for each intervention that refers to pathophysiology, as well as a discussion of related nursing care.

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