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Management of Patient with Complication from Heart Disease Case Study

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Health & Medical
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Case Study
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Running Head: CASE STUDY 1
Case Study, Chapter 29: Management of Patients with
Complications from Heart Disease

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CASE STUDY 2
Case Study: Chapter 37: Management of Patients with Complications from Heart Disease
The assignment pertains to case studies about the management of patients with
complications from heart disease. The answers to the two case studies are as follows.
Case Study 1
George Brown, 72 years of age, is a male patient who is admitted with the diagnosis
of acute pulmonary edema secondary to acute left ventricular heart failure. The patient has
a history of coronary artery disease that has been treated medically. The patient is anxious,
pale, cold, clammy, and dyspneic. The vital signs are: blood pressure 88/50 mm Hg, heart
rate 110 bpm, respiratory rate 32 breaths/min, and temperature 97°F. There are bubbling
crackles and wheezing throughout the lung fields and the patient is raising frothy blood-
tinged clear sputum. The patient’s admission weight is 100 kg.
Question a: What first actions should the nurse take and what are the rationales for
these actions?
You did not follow the instructions in my return email
DO NOT highlight my comments or corrections.
Answer a: The first actions which should be taken by the nurse in case of the patient
George Brown are:

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Running Head: CASE STUDY 1 Case Study, Chapter 29: Management of Patients with Complications from Heart Disease CASE STUDY 2 Case Study: Chapter 37: Management of Patients with Complications from Heart Disease The assignment pertains to case studies about the management of patients with complications from heart disease. The answers to the two case studies are as follows. Case Study 1 George Brown, 72 years of age, is a male patient who is admitted with the diagnosis of acute pulmonary edema secondary to acute left ventricular heart failure. The patient has a history of coronary artery disease that has been treated medically. The patient is anxious, pale, cold, clammy, and dyspneic. The vital signs are: blood pressure 88/50 mm Hg, heart rate 110 bpm, respiratory rate 32 breaths/min, and temperature 97°F. There are bubbling crackles and wheezing throughout the lung fields and the patient is raising frothy bloodtinged clear sputum. The patient’s admission weight is 100 kg. Question a: What first actions should the nurse take and what are the rationales for these actions? You did not follow the instructions in my return email DO NOT highlight my comments or corrections. Answer a: The first actions which should be taken by the nurse in case of the patient George Brown are: CASE STUDY 1. Elevation of the head end of the bed. 2. Oxygen administration 3. Auscultation of breathing sounds 4. Assuring intravenous access to prepare the patient to receive intravenous diuretic ...
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