Mrs. J Case Study

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Nursing interventions for Mrs. J at the time of the admission
The interventions for Mrs. J are starting of oxygen through nasal cannula because her O2 saturation is 82% and heart rate of 118/min to help in decreasing workload of the heart. She should be closely monitored and as mentioned in scenario patient is admitted to Telemetry unit because she need immediate and close monitoring. Stat EKG and EBGs should be done to find out baseline. Vital sign should be monitored closely including orthostatic blood pressure and oxygen saturation, because patient 02 saturation is low and blood pressure is low too. Patient weight should be monitored daily because of history of chronic heart failure and water retention. Also electrolyte level, serum creatinine
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Four cardiovascular conditions that may lead to heart failure and medical/nursing interventions to prevent the development of heart failure in each condition.
Heart failure refers to the inability of the heart to maintain sufficient cardiac output to meet metabolic demands of tissues and organs, and it is the end stage of most cardiac disease (Copstead & Banasik, 2010).
Coronary artery disease is the most common form of heart disease and is the most common cause of heart failure. In this condition, arteries that supply blood to your heart muscles narrow from a buildup of fatty deposits which is known as atherosclerosis. The buildup plaque deposit causes reduced blood flow to the heart (Mayo clinic, 2015a). Interventions for preventing coronary artery diseases involves life style changes. It includes eat healthy foods, exercise regularly, loose excessive weight and adopt relaxation techniques to reduce stress. Take your blood pressure and cholesterol medication as prescribed by doctor. Check your cholesterol level every 6 months. Take aspirin if your doctor recommend (Mayo clinic,
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As a nurses we can identify patients who are at risk for multiple drug interactions and educate patients and their families about the risk and how to solve it. Follow are the interventions to prevent multiple drug interactions in older patients:
1. Instruct patients to see one primary care physician and if they are having appointment with multiple primary care physician then they should take a complete list of medication they are taking, to avoid having multiple medications for one problem and prevent them for serious medical illness due to multiple medications for one problem.
2. Instruct the patient to keep list of their primary care physicians and their contact information. Also the name and telephone numbers of their local pharmacy. Also instruct them to use only one pharmacy for medication because if using one pharmacy, they can alert them with drug interactions and serious complications can be prevented by using one pharmacy.
3. Teach patients about mediation, their names, appearance, purpose and their side effects. Teaching them about side-effects is very important and they can contact the doctor with their concerns and questions related to side effect to prevent

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