Systolic Heart Disease Case Study 2022

Running head: SYSTOLIC HEART DISEASE
Systolic Heart Disease
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Q2. Discuss two high priority nursing strategies to manage Mrs. Brown and
provide evidence-based rationales for these strategies. (400)
People who were diagnosed with acute heart illness usually experience shortness of breath, high
blood pressure, high heartbeat and pulse rate and pain in the body because of the problems.
Treatment delivered by the nursing staff members helps in the improvement of the condition of
systolic heart illness, and also aids in diminishing of the hospital readmissions and decreases the
period of hospital stay. Generally people experience heart issues because of coronary artery
disease. Danger of the heart illness can be decreased by the provision of proper medications and
providing cure in a timely manner. After the diagnosis of Mrs. Brown she was found with
systolic heart illness and related signs and indications like uneven pace of respiration, shortness
of breath, dyspnea, and many more.
1st Nursing Strategy
The initial strategy of nursing should be aimed at reducing the issues related with respiration and
breathing of Mrs. Brown. An irregular alteration of respiratory rate is the initial vital indication
of patient worsening condition. The irregularity in respiration effects in shortness of breath thus
it is crucial to deliver suitable amount of oxygen to Mrs. Brown. When a person experiences
acute respiratory failure, the nursing members can cure the respiratory issues by delivering extra
amount of oxygen, oxygen therapy, mechanical ventilation, and oxygen saturation monitoring to
the patient. The nursing care strategy has a significant effect on enhancing the efficacy of the
patients’ breathing, air circulation and promoting the chances of recovery. The oxygenation
condition should be monitored daily to evaluate the alterations in respiration status. Daily usage
of incentive spirometer effectively will help in increasing the diffusion and alveolar surface area

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and will also aid in preventing atelectasis. The nurse and clinicians should also monitor the food
consumption status of the patient as undernourishment can damage the role of respiratory
muscles, decrease ventilator drive, and reduce the lung’s defense (Fournier, 2014). By
implementing this intervention, there will be great improvement in specially three cases which
are the respiratory rate, SpO2 percentage, and the shortness of breath will enhance significantly.
2nd Nursing Strategy
Bilateral basal crackles or Bibasilar crackles are uneven noises from the extremity of the lungs.
The noises show that something is interfering with airflow. The symptoms that can be seen with
the crackling sound are trouble in breathing, coughing, fever, fatigue, and swelling in the lower
legs. Treatment of the bilateral basal crackles will depend on the cause of the bilateral basal
crackles. The crackling sound may fade away after the treatment if the cause of the crackle is an
acute disease; however, if the problem is chronic, then the crackling sound may continue. A
doctor may refer diuretics if the patient has heart failure. However, if the patient is having
shortness of breath, then a nurse can give the patient oxygen therapy to make the breathing more
comfortable. Sometimes crackles occur due to chronic lung disease. By amending the lifestyle,
like stopping smoking, or using masks where there is a lot of air pollution, may help to cure the
primary situations and inhibit long term difficulties (Murrell & Pietro, 2018).

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REFERENCES
Fournier, M. (2014). Caring for patients in respiratory failure. American Nurse Today
(ANA), 9(11). Retrieved from https://www.americannursetoday.com/caring-patients-
respiratory-failure/
Murrell, D., & Pietro, M. (2018). Bibasilar crackles: Causes, sounds, and treatment. Retrieved 11
August 2019, from https://www.medicalnewstoday.com/articles/322597.php