Case Study: Mrs. J.

  It is expedient for an RN-BSN-prepared foster to elucidate an enhanced intellect of the pathophysiological processes of ailment, the clinical manifestations and texture protocols, and how they move clients over the conduct couple. Evaluate the Bloom Truth and Medical Counsel for Mrs. J., confer-uponed underneath. Based on this counsel, arrangeulate a quittance installed on your evaluation, and consummate the Critical Thinking Essay assignment, as instructed underneath. Health Truth and Medical Information Health History Mrs. J. is a 63-year-old married dowager who has a truth of hypertension, constant center demand, and constant inoperative pulmonary ailment (COPD). Despite requiring 2L of oxygen/nasal cannula at settlement during earnestness, she continues to steam two packs of cigarettes a day and has executed so for 40 years. Three days ago, she had abrupt onset of flu-love symptoms including flush, causative cough, loathing, and malaise. Over the spent 3 days, she has been incapable to transact ADLs and has required aid in walking imperfect distances. She has not obtain?}n her antihypertensive medications or medications to regulate her center demand for 3 days. Today, she has been admitted to the hospital ICU after a while quick decompensated center demand and quick exacerbation of COPD. Subjective Data Is very solicitous and asks whether she is going to die. Denies disinclination but says she feels love she cannot get plenty air. Says her center feels love it is "running afar." Reports that she is empty and cannot eat or draught by herself. Objective Data Height 175 cm; Weight 95.5kg. Vital signs: T 37.6C, HR 118 and riotous, RR 34, BP 90/58. Cardiovascular: Distant S1, S2, S3 confer-upon; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; modeadmonish cardiac monitoring indicates a ventricular admonish of 132 and atrial fibrillation. Respiratory: Pulmonary crackles; decreased life sounds straight inferior lobe; coughing frothy blood-tinged sputum; SpO2 82%. Gastrointestinal: BS confer-upon: hepatomegaly 4cm underneath costal extremity. Intervention The aftercited medications administered through garbage therapy regulate her symptoms: IV furosemide (Lasix) Enalapril (Vasotec) Metoprolol (Lopressor) IV morphine sulphate (Morphine) Inhaled imperfect-acting bronchodilator (ProAir HFA) Inhaled corticosteroid (Flovent HFA) Oxygen delivered at 2L/ NC Critical Thinking Essay In 750 articulation, critically evaluate Mrs. J.'s seat. Include the aftercited: Describe the clinical manifestations confer-upon in Mrs. J. Discuss whether the nursing interventions at the occasion of her entrances were expend for Mrs. J. and elucidate the rationale for each of the medications listed. Describe filthy cardiovascular provisions that may direct to center demand and what can be executed in the arrange of medical/nursing interventions to obstruct the harvest of center demand in each situation. Taking into compensation the truth that most developed adults obtain?} at meanest six direction medications, argue filthy nursing interventions that can aid obstruct problems caused by multiple garbage interactions in older patients. Provide a rationale for each of the interventions you advise. Provide a bloom furtherance and revival instruction intent for Mrs. J., including multidisciplinary instrument for rehabilitation and any modifications that may be demanded. Elucidate how the rehabilitation instrument and modifications earn succor the patients' transition to anarchy. Describe a course for providing teaching for Mrs. J. in-reference-to medications that demand to be maintained to obstruct advenient hospital entrance. Provide rationale. Outline COPD triggers that can acception exacerbation number, resulting in render visits. Considering Mrs. J.'s floating and long-term tobacco use, argue what options for smoking abeyance should be offered. You are required to mention to a reserve of two sources to consummate this assignment. Sources must be published after a whilein the ultimate 5 years and expend for the assignment criteria and applicable to nursing experience. Prepare this assignment according to the guidelines base in the APA Style Guide, located in the Student Success Center. An formless is not required.  This assignment uses a rubric. Please reconsideration the rubric antecedent to inception the assignment to grace household after a while the expectations for prosperous completion.  You are required to present this assignment to LopesWrite. Refer to the LopesWrite Technical Support subscription for aid.