NURS 1410 Developing Critical And Clinical Thinking

Question

NURS 1410 Developing Critical/Clinical Thinking by Identifying You have been assigned to your patient this am and have been given report. Go to the Patient's chart and review the most recent information regarding this patient. Mr. Hart, 60 years old, was diagnosed with hypertension and CAD three years ago after experiencing a left anterior MI. Two years ago, his condition worsened, and he was diagnosed in early-stage heart failure. Today, he comes to the clinic when he becomes concerned that he is becoming SOB at rest, experiencing episodes of chest tightness, has developed a persistent cough, and is increasingly fatigued with occasional dizziness. He reports that he is noticing shortness of breath on exertion and some chest discomfort. He has had to sleep with 3 pillows to keep from becoming SOB at night for the last two weeks. He complains of difficulty getting his shoes on the last month due to increased swelling around his ankles. He has gained 9 lbs over the last week. A review of his diagnostic tests shows: - Current ejection fraction is 39% (down from 47%). - BNP is elevated. Health Care Provider Prescriptions include: Oxygen, strict intake and outputs, daily weights, anti-embolism stockings, diet modifications, and medications including furosemide and warfarin. 1. What is the relationship of the patient’s past medical history and his current medications? 2. What is the relationship between this patient’s primary symptoms and his identified problem of heart failure? 3. What is the relationship between this patient’s relevant vital signs and the identified primary problem of heart failure? 4. What is the relationship between this patient’s diagnostic tests and his identified primary problem of heart failure? 5. Based on the data collection findings, the primary medical diagnosis for Mr. Hart is: An exacerbation of heart failure. Identify the primary Nursing Diagnosis or the primary physiological problem for this patient. 6. What is the relationship between the

Dr. Jack HW Helper · Accepted Answer

Mr. Hart's past medical history, including his diagnoses of hypertension, coronary artery disease (CAD), and heart failure, directly influences his current medication regimen. Each medication he takes plays a crucial role in managing his conditions and preventing further complications, such as myocardial infarction or worsening heart failure (Choudhary & Narula, 2022). Below, I will outline the therapeutic classifications of his medications, their actions, and how they relate to his medical history. Medication Therapeutic Classifications and Actions Mr. Hart’s home medications are as follows: Simvastatin Classification: Statin Action: This medication helps reduce cholesterol levels by inhibiting the HMG-CoA reductase enzyme, leading to decreased production of LDL cholesterol. This is essential for managing his hyperlipidemia and reducing the risk of further cardiovascular events (Mora et al., 2018). Lisinopril: Classification: ACE Inhibitor Action: It works by inhibiting angiotensin-converting enzyme, leading to vasodilation and reduced blood pressure, which is critical in managing hypertension and preventing heart failure exacerbation (Yusuf et al., 2019). Acetylsalicylic Acid (Aspirin): Classification: Antiplatelet agent Action: This medication reduces the risk of thrombus formation, thus preventing potential heart attacks, which he is at risk for due to his CAD (Patel et al., 2020). Eplerenone: Classification: Aldosterone antagonist Action: Eplerenone reduces fluid retention and helps improve survival in heart failure by antagonizing the effects of aldosterone, leading to improved heart function (Sacks et al., 2017). Patient Symptoms and Heart Failure The symptoms Mr. Hart exhibits, such as shortness of breath, chest tightness, and peripheral edema, are closely related to his heart failure. Heart failure leads to fluid buildup due to decreased cardiac output and increased pressures in the heart, resulting in pulmonary and systemic congestion (Grossman et al.,

NURS 1410 Developing Critical And Clinical Thinking ✓ Solved

NURS 1410 Developing Critical/Clinical Thinking by Identifying

Paper For Above Instructions

Medication Therapeutic Classifications and Actions

Patient Symptoms and Heart Failure

Relevant Vital Signs

Diagnostic Tests

Primary Nursing Diagnosis

Healthcare Provider's Prescriptions

Warfarin's Classification and Purpose

Follow-Up Activities

Conclusion

References