Nursing Intervention for Healthcare: Abraham Masclow’s ABC Rule

Running head: HEALTHCARE 1
Healthcare
Name
Institution

HEALTHCARE 2
Healthcare
Nursing Intervention
The nursing intervention that I will use is the Abraham Masclow’s ABC rule. I will first
address her respiratory problem by keeping her in an upright position so as to help exchange of
air, and since her oxygen saturation is 82%, I will place her on a non-breather mask and
ventilation so that the oxygen saturation may not continue dropping. The symptoms Mrs. J is
facing which includes ventricular rate of 132, presence of distant S1, S2, S3, coughing, and atrial
fibrillation are that of a person experiencing acute heart failure. Therefore she must be
immediately hospitalized, and the vital signs as well as telemetry monitored to check on her heart
rate and rhythm. Mrs. J also requires daily monitoring of her weight, congestion signs and
symptoms, levels of electrolyte, fluid balance and levels of serum creatinine. Serum tests such as
the liver function, CBC, D-dimer as well as BNP are highly recommended (American College of
Cardiology Foundation, & American Heart Association, 2010).
Rationale for Using These Medications
IV furosemide (Lasix)
The rationale for administering Lasix IV is because it results into a diuretic impact within
30 minutes. This impact prompts a decline in ventricular filling pressures and enhancement in
indications in patients with ADHF. It also causes a shift of fluids into the interstitial space thus
helping reduce the workload of the heart and blood vessels (Yancy, 2016). This impact can
improve the symptoms such as trouble breathing and edema.
Enalapril (Vasotec)

HEALTHCARE 3
Enalapril inhibits ACE and thereby dilating the blood vessels to enhance the blood flow
and oxygenation to the heart. According to Mayo Clinic (2017), ACE inhibitors have been
accounted for to enhance kidney and heart by widening the blood vessels and reducing the
amount of water put back into the blood by the kidneys.
Metoprolol (Lopressor)
Metropolol is a beta blocker as it decreases the pulse and hindrance of isoproterenol-
actuated tachycardia. It also blocks the action of epinephrine on the heart and blood vessels so as
to lower the heart rate and the strain on the heart (Stout, 2018).
IV morphine sulphate (Morphine)
Morphine is an analgesic and works in the brain to respond to pain (Jacobs, 2013). The
rationale for administering this drug is because it will help to improve the vasodilation and
respiratory relaxation of Mrs. J.
Cardiovascular Conditions
Smoking
Smoking is a noteworthy risk factor for the improvement of coronary diseases. CAD is a
noteworthy reason for heart failure. Nursing interventions to deal with smoking are to educate
people on the significance of smoking cessation and the risk factors related smoking, providing
respiratory treatment as well as using endorsed drug routine to help quit smoking.
High Blood Pressure