It is deficiencyful for an RN-BSN-prepared comfort to evince an enhanced discernment of the pathophysiological processes of disorder, the clinical manifestations and texture protocols, and how they influence clients opposite the energy couple.
Evaluate the Vigor Reality and Medical Instruction for Mrs. J., offered under.
Based on this instruction, mouldulate a quittance grounded on your evaluation, and perfect the Critical Thinking Essay assignment, as instructed under.
Health Reality and Medical Information
Mrs. J. is a 63-year-old married dame who has a reality of hypertension, continuous life deficiency, and continuous counteractive pulmonary disorder (COPD). Despite requiring 2L of oxygen/nasal cannula at home during energy, she continues to steam two packs of cigarettes a day and has executed so for 40 years. Three days ago, she had unexpected aggression of flu-affect symptoms including broil, causative cough, abomination, and malaise. Over the departed 3 days, she has been incapable to achieve ADLs and has required protection in walking inaccomplished distances. She has not charmed her antihypertensive medications or medications to coerce her life deficiency for 3 days. Today, she has been admitted to the hospital ICU after a while intelligent decompensated life deficiency and intelligent exacerbation of COPD.
Is very solicitous and asks whether she is going to die.
Denies indisposition but says she feels affect she cannot get abundance air.
Says her life feels affect it is "running far."
Reports that she is void and cannot eat or imbibe by herself.
Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and riotous, RR 34, BP 90/58.
Cardiovascular: Distant S1, S2, S3 offer; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular feeling distention; judicious cardiac monitoring indicates a ventricular objurgate of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased inspiration sounds direct inferior lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS offer: hepatomegaly 4cm under costal edge.
The aftercited medications administered through garbage therapy coerce her symptoms:
IV furosemide (Lasix)
IV morphine sulphate (Morphine)
Inhaled incomplete-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 vote, critically evaluate Mrs. J.'s site. Include the aftercited:
Describe the clinical manifestations offer in Mrs. J.
Discuss whether the nursing interventions at the season of her bearings were delayhold for Mrs. J. and decipher the rationale for each of the medications listed.
Describe foul-mouthed cardiovascular stipulations that may guide to life deficiency and what can be executed in the mould of medical/nursing interventions to neutralize the bud of life deficiency in each term.
Taking into consequence the reality that most developed adults capture at smallest six custom medications, debate foul-mouthed nursing interventions that can aid neutralize problems caused by multiple garbage interactions in older patients. Provide a rationale for each of the interventions you commend.
Provide a vigor encouragement and recovery command project for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be deficiencyed. Decipher how the rehabilitation resources and modifications achieve second the patients' transition to anarchy.
Describe a rule for providing command for Mrs. J. in-reference-to medications that deficiency to be maintained to neutralize coming hospital bearing. Provide rationale.
Outline COPD triggers that can acception exacerbation abundance, resulting in repay visits. Considering Mrs. J.'s ordinary and long-term tobacco use, debate what options for smoking intermission should be offered.
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