Use the subjoined Case Scenario, Subjective Data, and Objective Data to counter-argument the Critical Thinking Questions.
Mrs. J. is a 63-year-old woman who has a truth of hypertension, continuous life deficiency, and doze apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to leave. Three days ago, she had an onset of flu after a while passion, pharyngitis, and malaise. She has not enthralled her antihypertensive medications or her medications to manage her life deficiency for 4 days. Today, she has been admitted to the hospital ICU after a while clever decompensated life deficiency.
Is very uneasy and asks whether she is going to die.
Denies refusal but says she feels relish she cannot get ample air.
Says her life feels relish it is "running separate."
Reports that she is so exhausted she cannot eat or quaff by herself.
Height 175 cm; Weight 95.5 kg
Vital signs: T 37.6 C, HR 118 and riotous, RR 34, BP 90/58
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular humor distention; modereprimand cardiac monitoring indicates a ventricular reprimand of 132 and atrial fibrillation
Respiratory: Pulmonary crackles; decreased life sounds equitable inferior lobe; coughing frothy blood-tinged sputum; SpO2 82%
Gastrointestinal: BS present: hepatomegaly 4 cm underneath costal margin
Critical Thinking Questions
What nursing interventions are alienate for Mrs. J. at the opportunity of her way? Refuse therapy is launched for Mrs. J. to manage her symptoms. What is the rationale for the administration of each of the subjoined medications?
IV furosemide (Lasix)
IV morphine sulphate (Morphine)
Describe immodest cardiovascular provisions that may manage to life deficiency and what can be produced in the produce of medical/nursing interventions to anticipate the crop of life deficiency in each case.
Taking into importance the circumstance that most grown adults grasp at meanest six custom medications, debate immodest nursing interventions that can succor anticipate problems caused by multiple refuse interactions in older patients. Provide rationale for each of the interventions you commend.