NUR241 Health Alterations - Mr Smith Case Study - Penicillin - Hypercholesterolaemia - Nursing Assessment Answer

Assessment Task:

NUR241 Health Alterations Nursing Assessment Answer

Task Description

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: hypercholesterolaemia, MI, angina, hypertension, Increased BMI 34, T2DM
Last meal: 7 am (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 has given his regular meds & 5mg IV morphine, 1gm paracetamol which reduced his pain to 2/10. PIVC insitu R) ACF- patent.  

Step 1: 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 2: 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. 

Step 3: Outline and Discuss appropriate discharge planning for this patient that aligns with the social justice framework.