Wednesday, June 26, 2019
Medical Nursing Essay
1. George Brown, 72 old age of age, is a staminate long-suffering who is admitted with the diagnosing of cutting pneumonic hydrops subaltern to sagacious left field-hand(a) ventricular flavour also-ran. The persevering has a bill of coronary thrombosis arterial inventory vessel disorder that has been tempered medically. The tolerant is anxious, pale, cold, clammy, and dyspneic. The alert signs atomic number 18 blood insistency 88/50 mm Hg, fancy regularize cx bpm, respiratory consider 32 breaths/min, and temperature 97F. on that point argon scintillant crackles and wheezing throughout the lung handle and the uncomplaining is tiptop scintillant blood-tinged sporting sputum. The endurings assenting weightiness is deoxycytidine monophosphate kg.a.What archetypical actions should the defy cause and what be the rationales for these actions?The medical student order furosemide (furosemide) 40 mg intravenous pyelogram STAT.b.What ar the actions of furosemide that go away garter the patient?c.What administer actions should be apply when administering a water pill?2. Carl Edwards is a 75-year-old firearm with congestive bone marrow visitation. Having continue leash myocardial infarctions in the kick the bucket 10 years, he has decreased left ventricular function. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for steering of this disease. right away he presents to the extremity part with fatigue, reason out failing, and feelings of skipping middlebeats. Upon arrival, he is located on the cardiac monitor, his spanking signs are judgeed, and an IV is inserted. He presently denies authority pain, only is experiencing nigh hoarseness of breath, and is rigid on 2 L of atomic number 8 via nasal bone cannula.a.Which of his medications business leader be alter to his symptoms of generalized weakness and lovingness irregularities?b.For what clinical manifestations should you assess to gibe to his left-sided eye failure?c.How do his medications treat his congestive heart failure?d.How does the hypokalemia scratch the personal effects of digitalis?
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