NIU nurs308 Heart Failure Case Study latest 2018

Heart
Failure Case Study

Mr. Pepper is 74 y/o who presented to the ED with shortness
of breath, fatigue, and “swollen legs and stomach”. In assessing his health
history, you found out that he smokes a pack a day. His wife reported that he
has been sleeping with two pillows propped behind him.

Part I

What other pertinent information might the nurse need in
assessing this patient?

Upon further evaluation Mr. Pepper reported that he had not
been taking his fluid pill because he ran out. In obtaining his assessment, you
noted bilateral crackles, bilateral lower edema of +3 and distended abdomen.
His V.S. are: BP 92/48, P 88, R 30, T 98.9, SPO2 of 88% on room air. You decide
to supplement him with 2 L of O2.

Part II

What other interventions might the nurse consider? What

procedures, medications and labs do you anticipate? Be
brief!

Mr. Pepper was admitted to 6 South for Heart Failure
exacerbation and for diuresis. He was administered Lasix with Potassium
supplements. He stated relief from his fatigue and shortness of breath. During
hospital stay you noted that his wife was bringing him Chinese food. The
patient also requested multiple times to go outside and smoke.

Part III

What teaching strategies will you implement in Mr. Pepper’s
care? What resources will you consult or utilize? Where do you obtain your
resources? Be brief!

Upon discharge, Mr. Pepper was in good spirits and ready to
go home. He was educated about his heart failure and disease process and
management throughout his hospital stay.

Part IV

List the discharge instruction topics that you would go ove

with Mr. Pepper. What resources will you give him?

Mr. Pepper verbalized understanding from his discharge
instructions. He has decided to quit smoking and live a healthier lifestyle. He
was sad to leave the excellent nursing staff, but was ready to go home.

The nurse documented that discharge instructions and
educational materials were given to Mr. Pepper.

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