A 78-year-old woman was admitted to the hospital with shortness of breath. She has a history of hypertension and coronary artery disease (CAD). Her third myocardial infarct (MI) was 8 months ago. She states she ran out of her drugs a week ago and has “just not gotten around to getting them refilled.” She is alert and oriented to person, place, and time. Fine crackles bilateral lower lobes. Shortness of breath on minimal exertion. Oxygen saturation 89% on room air. Her admission assessment reveals the following: S1 and S2 without murmur or extra heart sounds. BP 100/60, HR 84, RR 28, Temp 36.1° C. Capillary refill sluggish in lower extremities, normal in upper extremities. 2+ edema bilateral lower extremities. What do you suspect her diagnosis is? Support your response with subjective and objective assessment data retrieved from the scenario. Name some of the primary causes of this disorder. Discuss a non-invasive diagnostic study that you anticipate will be used to confirm this diagnosis. The client is having an acute episode and her condition worsens. Discuss the clinical manifestations of pulmonary edema and include interprofessional care to be performed. The client is prescribed furosemide. Explain to the client the reason she is receiving this medication. Two years later the client is displaying clinical manifestations that indicate the condition is now chronic. What are the overall goals for this client? Discuss a medication that could be used to help manage this client’s chronic condition, other than furosemide. Discuss a teaching plan for this client regarding nutrition therapy. Discuss one mechanical circulatory support device and include whether it is used for short term or long term managemente provided.
[Solved]: A 78-year-old woman was admitted to the hospital…
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