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Complex Nursing Care Assignment

   

Added on  2019-11-19

9 Pages2025 Words219 Views
Running head: COMPLEX NURSING CARECOMPLEX NURSING CAREName of the StudentName of the universityAuthor’s note

1COMPLEX NURSING CARE1.1(Ans) vital signs:-B.P- 202/124, which indicates a high blood pressure, which is a matter of concern for apatient of his age and can signify heart disease. R.R- 18/min, which indicates normal breathing.T- 36.7 degree, which indicates that he was not febrile. 1.2.(Ans) Priority problems associated with the case study are as follows:-i.Obesity in Mr. X due to the consumption of fatty foods, which can enhance heartproblems.ii.Mr. X had been a chain smoker, which can lead to diseases like COPD and can bringabout complications in heart diseases.iii.Mr. X was suffering from myocardial infarction.iv.He was having a high blood pressure, which is a matter of concern of his age. 1.3.(Ans) 3 relevant nursing diagnosis :-i.Pain, squeezing and heavy sensation in the chest, decreased cardiac output.ii.Respiratory distress due to inefficient clearing of the airway due to accumulation of thesecretions.iii.Tissue perfusion is decreased, nausea, vomiting, chest pain, sweating, indigestion.

2COMPLEX NURSING CARE1.4. (Ans) Laboratory tests, that may be ordered to investigate X’s condition-i.Electrocardiogram, for the physical assessment.ii.Determination of the cardiac markers- there are certain enzymes that lea out of themyocardial cells through the damaged cell membrane of the cardiac muscles. Thesemarkers are released into the blood stream. The commonly used markers are the MB subtype of the enzyme Creatine kinaseand the cardiac troponins. Enzymes like SGOT and LDH are also used as cardiacmarkers.iii.Chest radiograph can also be used to determine MI.iv.Histopathological diagnosis can show the condition of the damaged heart muscles.v.Coronary angiogram to determine obstruction in the heart vessels.1.5. You call Dr. Graham’s resident who prescribes 10mg Morphine sulphate IV push q1hrprn for pain (burning). Explain the reasons for this order.Ans:- Intravenous morphine Sulphate is used in the case of chest pain of uncertain etiology.Morphine reduces the B.P. It slows down the heart rate, thus relieving anxiety. It also helps tolessen the myocardial oxygen demands, depresses the respiration and decreases the oxygenation. 1.6. Analyse what special precautions you should follow when administering Morphinesulphate as IV push(Ans) Each patient should be assessed prior to the application of the doses and should bemonitored regularly for the development of the risks. Proper dose regimen should be followed asdifferent formulations of this drug are not bioequivalent. In case of the elderly patients, the doses

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