Nursing - Pathogenesis Causing - Mrs Brown Case Study Assessment Answer

Nursing  - Pathogenesis Causing - Mrs Brown Case Study Assessment Answer

Task: 

Mrs Brown, a 78-year-old female, was admitted to the Emergency Department at 6am after waking up with severe breathlessness. Her family informed you that the patient has a history of heart failure that had been diagnosed two 5 years ago.
On admission to the Emergency Department the signs & symptoms were:
– Severe dyspnoea
– Respiratory rate of 24 breaths/minute
– SpO2 85%, on room air
– BP 170/95mmHg
– Pulse rate of 120 beats/minute
– Auscultation of lungs identifies bilateral basal crackles
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.
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.

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