Nursing Case Study on Clinical Manifestations, Interventions, and Health Promotion for Mrs. J

Running head: NURSING
Nursing Case Study
Name of the Student
Name of the University
Author’s Note

1
NURSING
Table of Contents
Clinical Manifestations of Mrs J................................................................................................2
Nursing intervention during admission and the reason for medication.....................................2
Cardiovascular conditions and nursing interventions................................................................3
Nursing intervention for multiple drug interactions in older patients........................................3
Health promotion and restoration teaching plan........................................................................4
Education regarding medications...............................................................................................4
Dealing with COPD triggers and tobacco addiction..................................................................5
Reference-..................................................................................................................................6

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NURSING
Clinical Manifestations of Mrs J.
Mrs. J is presented with a history of hypertension, chronic heart failure, chronic
obstructive pulmonary disorder (COPD). She is showing symptoms of flu, fever, wet cough,
nausea and chronic fatigue. Mrs. J is also overweight and is admitted to the hospital with
progressing heart failure and relapse of COPD. She is also anxious, in pain and exhausted.
Her temperature is 37.60C, having irregular heart rate 118, and blood pressure 90/58. Her
heart vitals are poor, with distention in jugular vein, ventricular rate 132 and atrial
fibrillation. She is coughing out blood-tinged sputum, and having slow breath sounds with
SpO2 (Oxygen saturation) of 82% and having hepatomegaly.
Nursing intervention during admission and the reason for medication
Mrs. J was having a history of cardiovascular disorder and she was monitored closely
using telemeter to get updates of her status. She was coughing blood, showing pulmonary
crackles and her SpO2% was about 82%, so oxygen therapy can be well expected, which was
administered to the patient using nasal cannula. Bronchodilator and corticosteroid was used
to help with her lung condition. Meek et al., (2019) suggested that bronchodilators relax the
muscles around airways, corticosteroids reduce swelling inside the breathing tubes and
oxygen therapy can help to improve oxygen level in COPD patients. The IV furosemide
(Lasix) is a diuretic that controls blood pressure, and mobilizes the excessive fluid due to
heart condition. Enalapril (Vasotec) was administered solely due to high blood pressure.
Metoprolol (Lopressor) is a beta-blocker that helps with the Afib of heart patients. IV
morphine sulphate (Morphine) helps in dilation of the blood vessels that reduces blood
pressure on heart (British Heart Foundation. So, it can be concluded that Mrs. J received
exact treatment after being admitted to the hospital.