NRS 455 RS T1 Case Study Mrs R Medical/Surgical Nursing II ( HNS302)

NRS 455 RS T1 Case Study Mrs R Medical/Surgical Nursing II ( HNS302)

Cardiac respiratory events are some of the top leading events that result in hospitalizations. Examining a case study this paper aims to examine different diseases and how they exacerbate one another and lead to further health deterioration. It will take a closer look at what medications are provided to the patient and why they are given. While also sharing ways to promote health and rehabilitation after events occur. Subjective & Objective Manifestations Mrs. J is sixty-three-year-old women with a history of hypertension, chronic heart failure (CHF) and chronic obstructive pulmonary disease (COPD) who is supplemental oxygen dependent requiring 2L nasal cannula, who continues to smoke two packs of cigarettes a day. Mrs. J had described flu like symptoms for three days ago that was a fever, productive cough, nausea, and malaise that had progressed to her inability to perform ADL's which included her not being able to do the simple task of taking her antihypertensive medications. Subjectively the patient appears anxious with complaints of being unable to get enough air. She is afraid she is going to die and denies any pain but feels as though her heart is "running away". She is exhausted to the point that she has no energy to eat or drink on her own. Objectively the nurse finds the patient's vitals of a heart rate of 118, respirations are 34 and blood pressure is currently 90/58. Cardiac assessment showed Distant S1, S2, and S3 present with peripheral pulses being faint but detectable, bilateral jugular vein distention, with a ventricular rate of 132 and a cardiac rhythm indicating atrial fibrillation. Her Respiratory assessment presented pulmonary crackles with decreased breath sounds on the right lower lobe, frothy blood- tinged sputum and SpO2 of 82% consistent with COPD symptoms. The gastrointestinal assessment showed hepatomegaly 4cm below costal margin