'Medical Nursing Essay\r'

'1. George Brown, 72 years of age, is a male uncomplaining who is admitted with the diagnosis of acute pulmonic edema secondary to acute left ventricular heart failure. The patient has a history of coronary thrombosis artery disease that has been treated medically. The patient is anxious, pale, cold, clammy, and dyspneic. The springy signs atomic number 18: blood pressure 88/50 mm Hg, heart rate 110 bpm, respiratory rate 32 breaths/min, and temperature 97°F. There are bubbling crackles and wheezing throughout the lung fields and the patient is raising frothy blood-tinged clear sputum. The patient’s admission weight is 100 kg.\r\na.What first actions should the take hold take and what are the rationales for these actions?\r\nThe physician ordered furosemide (Lasix) 40 mg IVP STAT.\r\nb.What are the actions of furosemide that will help the patient?\r\nc.What nursing actions should be implemented when administering a diuretic?\r\n2. Carl Edwards is a 75-year-old humann ess with congestive heart failure. Having sustained three myocardial infarctions in the last 10 years, he has decrease left ventricular function. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. today he presents to the emergency department with fatigue, generalized weakness, and feelings of â€Å"skipping” heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are assessed, and an IV is inserted. He currently denies chest pain, but is experiencing some shortness of breath, and is placed on 2 L of oxygen via nasal cannula.\r\na.Which of his medications might be contributing to his symptoms of generalized weakness and heart irregularities?\r\nb.For what clinical manifestations should you assess to correlate to his left-sided heart failure?\r\nc.How do his medications treat his congestive heart failure?\r\nd.How does the hypokalemia hit the effects of Digitalis?\r\n'