Topic 3 Mandatory Discussion Question

Topic 3 Mandatory Discussion Question

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What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

At time of admission, Mrs.J we would place her in semi fowlers position, with appropriate oxygen. We would take vitals, get lab values prior to starting IV antibiotics. We would get lung x-ray to evaluate the lungs. Provide her with medication for comfort, reduce anxiety and possible a nicotine patch. This may help with some of the anxiety. We need to watch the fluid, carefully watching the infusion of IVs so we do not have fluid overload. Apply SCD’s to help with circulation. Make sure patients room is quiet, free of clutter and make sur you round the patients room regularly so that you can assist with toileting and to ease the fear of the patient. ( American Heart Association, 2017).

·         The medications order are as follows:

IV furosemide (Lasix) Treating heart failure with a diuretic helps to remove water and salt from the body by causing you to urinate more frequently, and also takes the pressure off the heart by allowing it to pump easier. Diuretics help to reduce swelling.

Enalapril (Vasotec)- This is an ace inhibitor. Ace inhibitors relax the blood vessels. It allows the blood to flow smoothly, making the heart work easier

Metoprolol (Lopressor)- Metoprolol is a beta-blocker. Beta-blockers reduce the workload on the heart and help it to beat more regularly.   This helps with atrial fib and hypertension.

IV morphine sulphate (Morphine) For heart patients it is often used for shortness of breath. It lowers the breathing rate, widens blood vessels in arms and legs (making heart work less hard), reduce the amount of anxiety and anxiousness by breathing more calmly, and it reduces any pain which also removes the anxiety which reduces the respiration rate. (American Heart Association, 2017).