Nursing Intervention Essay
I recommend placing the patient in Fowler 's position, assess vital signs and mental status. Auscultation for abnormal heart and breath sounds, and give her supplemental oxygen to help her breathe more easily. Daily weighing of the patient, and check for peripheral edema. Monitor the patient for signs and symptoms of fluid overload, and impaired gas exchange. Explain the disease process to Mrs. J. to help her understand the need for the prescribed medications, activity restrictions, diet, fluid restrictions, and lifestyle changes such as quitting smoking.
LABs: Frequently monitor blood urea nitrogen and serum creatinine, potassium, sodium, chloride, and magnesium …show more content…
Blood pressure is the force of which blood pumped by the heart through the arteries. If the blood pressure is high, the heart has to work harder than it should to circulate blood throughout the body. This cause the heart muscle to become thicker in order to compensate for the extra work it must perform, thereby causing the heart muscle to become either too stiff or too weak to effectively pump blood (Cohn, 1998). In order to prevent heart failure, maintaining a good control of blood pressure with the use of antihypertensive, encourage patient to do regular physical exercise to control weight and use of less …show more content…
As this problem worsens the heart is unable to pump blood through the body and maintain a normal electrical rhythm. Causes of cardiomyopathy include infections, alcohol abuse, and the toxic effect of drugs such as cocaine or some drugs used for chemotherapy. In order to prevent heart failure, lifestyle changes is important such as abstaining from alcohol, losing weight and reducing the amount of salt in diet (NIH, 2011).
Abnormal heart rhythms (heart arrhythmias). In this condition, the heart can beat too fast creating extra work for the heart. Over time, the heart may weaken, leading to heart failure. A slow heartbeat can prevent the heart from getting enough blood out to the body and may also lead to heart failure. Avoidance of certain medications such as cold and cough medications, caffeine psychotropic medications and beta- blockers. Lifestyle changes is also helps to prevent development of heart failure in patients with this problem (AHA, 2014).
Nursing interventions that can help prevent problems caused by multiple drug interactions in older