NUM2306 - Adult Health Care Assignment

Assignment Task

Sandra, a 72-year-old woman, has presented to the Emergency Department with shortness of breath that has lasted for 3-4 days, and is unable to lie flat. She has also noticed that she has not been passing urine as often as normal and is coughing up frothy sputum.

Sandra has a history of Hypertension and is an ex-smoker. She stopped smoking when she was diagnosed with Myocardial Infarction 4 years ago, for which she underwent cardiac catheterization and PTCA for 85% blockage of the right coronary artery.

Subjective data

• Shortness of breath for 3-4 days, unable to lie flat
• Sandra noticed that she is not passing urine as frequently as normal
• Reported coughing up frothy sputum

Objective data

On physical examination

• Oedematous feet
• Crackles on chest Auscultation. CXR confirms Pulmonary Oedema
• HR 106 bpm, BP 168/98 mm Hg, Temp 36.1 ^o C and RR 24 bpm

Your case study essay should include the following:

• Introduction
• Body paragraph that discusses
• Pathophysiology
• Management
• Medication
• Conclusion
• References

Introduction

• Briefly define/explain the nature of the condition/disease process
• Provide objectives, scope, and structure of your paper
• A good introduction will get the reader’s interest

Pathophysiology 

• Briefly explain the pathophysiology of ventricular remodeling leading to heart failure in Sandra.
• Identify at least four (4) clinical manifestations of heart failure demonstrated by Sandra and explain the rationale for each of those manifestations in relation to pathophysiology.

Management

• Discuss the immediate nursing management Sandra requires in treating acute heart failure.
• Briefly explain the medical management required for heart failure

Medications

• Identify three (3) medications (not oxygen) that should be used in the treatment of Sandra and outline the mechanism of action, administration method, side effects and nursing care required for these medications. (No tables, please write in paragraph form).

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