Nursing Case Study Assignment

Running head: NURSING ASSIGNMENT
NURSING CASE STUDY ASSIGNMENT
Name of the Student
Name of the University
Author note

1NURSING ASSIGNMENT
Answer 1
Mrs. Brown (78) was admitted to the emergency department of the healthcare facility
with several issues within which dyspnea, severe breathlessness and increased respiratory rate,
heart rate, pulse rate and high blood pressure was diagnosed as primary vital signs. The
healthcare physicians conducted ECG so that identification of the concern could be determined
and atrial fibrillations or abnormal heart rhythm and identification of acute exacerbation of
chronic left-sided heart failure was made. As per Wilcox, Kabrhel and Channick (2015), it was
said that acute chronic heart failure could occur due to preexisting heart disease or the patient has
history of heart failure. In this case, Mrs. Brown had history of heart failure and hence, this onset
of acute chronic heart failure could be connected to her pre-existing heart disorder. In this health
condition, the ventricles become stiff and they become unable to pump blood properly
throughout the body (Harjola et al., 2016). This situation leads to volume overload in the
pulmonary and venous congestion and hence, congestion in chest could be felt by the patient
(Güder & Rutten, 2014). Further this filling pressure in left side of heart ventricle leads to
depressed cardiac index and cardiac output. Further due to these effects tachycardia and
myocardial oxygen consumption increases due to which vasoconstrictor neurohormones
increases and hence, sodium or fluid retention occurs (Wilcox, Kabrhel & Channick, 2015). This
phenomenon increases the wall pressure of the heart muscles and hence excessive stress and
simultaneously decreased renal perfusion is observed. These aspects leads to the onset of
symptoms such as increased blood pressure, increased heart rate due to tachycardia increased
respiratory rate due to increased oxygen consumption and chest congestion due to stress and
stiffness in the heart muscles due to this disorder (Güder & Rutten, 2014).

2NURSING ASSIGNMENT
Further, in pathophysiology of this disorder, it could be said that if the heart muscles and
its stress could not be relieved within a specific time, it could become unable to maintain the
ideal cardiac output and becomes insufficient in meeting the demands of peripheral blood
circulation and hence, it is required to provide the patient suffering from acute chronic heart
failure with quick medication so that conditions could be easily treated and muscle relaxation
could be imparted in the heart muscles (Wilcox, Kabrhel & Channick, 2015). Besides these,
there are several factors which are associated with the occurrence of acute chronic heart failure
such as bacterial infection or congestion in the lungs, lack of proper medication after the first
surgery, thyrotoxic crisis, anemia, and reduction in the renal function and increased volume load
(Güder & Rutten, 2014). There is no such information available about the addiction and
associated details were provided and hence, the history of heart failure could be seen as the onset
of heart congestion and associated secondary left sided heart failure. As per Harjola et al. (2016),
the heart failure seen in Mrs. Brown is classified as systolic heart failure as dysfunction in the
left ventricle was seen in the symptom and through ECG tests it was seen that the heart muscles
are making abnormal rhythms which is known as atrial fibrillations.
Answer 2
Nursing professionals play an important role in the treatment process of patients with
acute heart failure associated disorders as rapid and quick action and interventions are required
while providing care to such patients (Mebazaa et al., 2014). Therefore, the strategies used in the
care process should complement the speed and intensity required to treat such patients and
improve their condition rapidly. The first strategy which should be used is conducting immediate
assessment of the disease and triage so that identification of the intensity of the disorder could be
done (Mahramus et al., 2015). The nurse should be able to conduct rapid triage so that proper