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What nursing interventions are appropriate for Mrs. J. at the time of her admission?Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

What nursing interventions are appropriate for Mrs. J. at the time of her admission?Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Interventions: -Oxygen -Elevate head of bed -Relieve anxiety -Medications -ECG & other diagnostic studies Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications? 1. IV furosemide (Lasix) is a diuretic used in heart failure patients because heart failure leads to renal retention of sodium and water, which will increase the blood volume and venous pressure, and cause edema formation. Pulmonary edema (caused during left ventricular failure) can be life threatening due to pulmonary oxygen exchange being compromised. Diuretics are used to promote renal loss of sodium and water which reduces chances of vascular congestion and edema. 2. Enalapril (Vasotec) is an angiotensin-converting enzyme (ACE inhibitor). It is used to help block the angiotensin-converting enzyme, which is what is used by the body to cause the blood vessels to constrict. When you block this enzyme the blood vessels relax which cause a lower blood pressure, that increases the efficiency of the heart. This is used to help the body pump more blood out to the rest of the body. 3. Metoprolol (Lopressor) is a beta-blocker. Beta-blockers are used to help treat left ventricular systolic dysfunction. They are typically used with other medications to treat heart failure. They are also used to treat diastolic heart failure. They do this by slowing the heart rate and allowing more time for the heart to fill with blood to increase the ejection fraction. 4. IV morphine sulphate (Morphine) is used to reduce preload, heart rate, and possibly afterload, the net effect of which is a reduction in myocardial oxygen demand. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition. -Coronary artery disease- over time arteries build up with fatty deposits. This causes reduced blood flow to the heart. This can cause a heart attack if the arteries rupture. Then blood clots can formed and may block flow to the heart’s muscle, weakening the heart’s ability to pump. Interventions: medications like ACE inhibitors, beta-blockers, NGT, calcium-channel blockers and aspirin can be used to treat CAD and prevent heart failure. Also cardiac catheters and surgery can be done to help remove the fatty deposit build up. -Hypertension- When your blood pressure is high your heart has to work harder to pump the blood throughout the body, over time this can cause the muscle to become thicker and the muscle will eventually become weak and not pump effectively. Interventions: depending on the stage of hypertension the patient can treat with lifestyle changes (exercise, diet), ACE inhibitor, calcium channel blocker, or angiotensin receptor blockers.

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The post What nursing interventions are appropriate for Mrs. J. at the time of her admission?Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications? appeared first on Only Nursing Papers.

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