NURBN2012 - Pathophysiology & Pharmacology Applied to Nursing - Report Writing - 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.

A report format includes an introduction and conclusion, but headings are used in the body of the text. Use the question you are answering as your heading. Do not use dot points for your answers. Do not write in the first person. Appropriately referenced and labelled tables, diagrams or images may be used in the body of the paper. You may reproduce the tables used in the questions in your answers.

Use APA 7 referencing throughout your assignment. References must be current, preferably from the past five years. You are required to cite no less than 10 references, and the majority of these should be current journal articles. We are looking at information informing current clinical practice, and your choice of references must reflect this.

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.

Question 1
Your buddy nurse asks for an ECG. Explain the rationale for the ECG request (5 marks). Why would the nurse also ask you to prepare for a blood test? (2 marks) Why do both ECG and a blood test? (3 marks)

Question 2
The medical team confirm the diagnosis of heart failure. Describe the pathophysiology of heart failure with reference to causes, progression and outcomes (15 marks). Include links to how heart failure has progressed for Deep

Question 3 
Appendix 1 is an ECG that was taken while Deep was experiencing shortness of breath. Systematically analyse the ECG, commenting on the:
- Rhythm
- Rate
- Presence and regularity of p waves
- ST segment
What is your interpretation of this ECG?

Question 4 
Deep became short of breath overnight during admission. Discuss the physiology as to why this occurred. What two things has Deep been doing that would exacerbate his heart failure, with explanation?

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