NURBN2012 - Pathophysiology & Pharmacology Applied to Nursing - Nursing Assignment Help

Assignment Task

Directions
For this assessment task, you are required to write a 2000 word report answering the questions from the scenario. You will need to explore the pathophysiology, pharmacology and psychosocial aspects of the scenario and demonstrate your understanding in the answers you provide. Your answers should be informed by your reading of current research and literature.

Scenario
Deependra Sidhu (preferred name of “Deep”) is a 68 year old male of Indian descent. He immigrated to Melbourne at
the age of 18. He became an Australian citizen at the age of 28.

Past medical history
Myocardial infarction (MI) 2017
Stable Angina
Hypertension
Hypercholesteremia
Type 2 Diabetes Mellitus (currently diet controlled, diagnosed 2016)

Current Medications
Aspirin 100mg mane
Atenolol 25mg mane
Furosemide 40 mg mane
Pravastatin 40mg oral nocte (bedtime)
GTN spray 1 – 2 sprays S/L PRN
Sildenafil (Viagra) 50mg prn

Social history
Deep tells you that he is trying to lose a bit of weight by having soup for lunch, he is particularly fond of hot and sour soup. His wife has bought him lunch and dinner every day he has been admitted. Deep has a very supportive family but they are currently studying. Deep works 3 days a week and would like to retire soon but “needs to support my family first”. He confides in you that he doesn’t like the side effects (“makes me go to the toilet too much”) of the Lasix tablet and sometimes doesn’t take it.

Outcome
The medical team comes to review Mr Sidhu. They consider that Mr Sidhu likely has heart failure and schedule and ECHO for the next day to confirm. They ask for Mr Sidhu to be placed on 2L fluid restriction, give a stat dose of IV furosemide and ask for his urine output to be measured.

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