Nursing - Mrs Brown Case Study Assessment Answer

Nursing - Mrs Brown Case Study Assessment Answer

Task:

Mrs Brown, a 78 year-old female, was admitted to the Emergency Department at 6am after waking upwith severe breathlessness. Her family informed you that the patient has a history of heart failure that had been diagnosed two years ago. On admission to the Emergency Department the signs & symptoms were:
Mrs Brown was connected to an ECG monitor that showed atrial fibrillation. A diagnosis of acute exacerbation of chronic systolic heart failure was made.
Question 1.  Explain the pathogenesis causing the clinical manifestations with which Mrs Brown presented.
Question 2.  Discuss two high priority nursing strategies to manage Mrs Brown and provide evidence-based rationales for these strategies. (Non pharmacological strategy, Supply oxygen, position something like that)
Question 3.  Two of the drugs that were given to Mrs Brown were IV Furosemide (Lasix) and sublingual Glyceryl Trinitrate (GTN). a. Discuss the mechanism of action of these two drugs, and relate to the underlying pathogenesis of an acute exacerbation of chronic systolic heart failure. (MIMS online can be used to get medication information)

2. A note on ACADEMIC references:
References to support your discussion must be from peer-reviewed and/or published sources that are less than 5 years old. This includes textbooks, journal articles, MIMS and evidence-based guidelines produced by expert bodies such as the Heart Foundation. Please do not refer to patient information sites to support your discussion (example WebMD).

NOTE
1. Analyses information from a discerning selection of sources and provides an accurate and comprehensive explanation of the pathogenesis causing the clinical manifestation of the patient in the case study. The explanation is developed in a logical sequence and incorporates all manifestations presented in the case study. The discussion is clearly and accurately supported by appropriate sources

2. Identifies two high priority nursing strategies used to manage a patient with an acute exacerbation of systolic heart failure in the Emergency Department. The nursing strategies are well supported by discussion that clearly explains the rationales. The discussion is clearly and accurately supported by appropriate sources

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