Identify a total of three patient health issues from the case…
Question Answered step-by-step Identify a total of three patient health issues from the case… Identify a total of three patient health issues from the case scenarios that nurses can address within their scope of practice. You may include ‘risk for’ or ‘potential for health issues. This is the case study:Cardiac case scenarioPatient name: Brendan Walsh Handover report to Ward 3B Cardiology Date of handover report: 15 th September 2021 at 10.00 hours MRN: 755 845 DOB: 15.04.1965 Weight: 90kg Height: 175cm BMI: 29.4kg/m2 (overweight) Introduction Brendan Walsh a 56-year-old male presented to the Emergency department early this morning complaining of chest tightness and increasing shortness of breath. The patient’s partner has accompanied him to the hospital. Situation On examination in the Emergency department upon arrival at 07:00hrs, Brendan initially presented with chest tightness and shortness of breath, feeling occasionally lightheaded, tachycardia, hypertension and swelling in his ankles to his knees. He is alert and orientated. An ECG, CXR and Echocardiogram were performed. ECG shows left ventricular hypertrophy with no ST changes. Echocardiogram shows worsening heart failure and reduced ejection fraction with evidence of pulmonary hypertension. CXR shows the heart is enlarged and bilateral lower lobe congestion. Oxygen was applied as the Sp02 was 93% on RA, currently 95% on 2L via NP. Background Brendan has a medical history of Idiopathic (non-ischemic) Dilated Cardiomyopathy NYHA class II diagnosed two years ago, Hypertension managed with Metoprolol, Type II Diabetes Mellitus (Diet controlled), ETOH (Ethyl alcohol) usually drinks 4 – 5 bottles of wine per week and smokes one packet of cigarettes per week. Brendan lives with his partner and has one son who lives interstate. Brendan and his partner manage a wine vineyard on the south coast. Assessment Observations were taken on arrival to the Emergency department: BP: 160/90 mmHg HR: 110 beats per minuteSpO2: 93% R/A; 95% on 2L NPRR: 28 breaths per minuteTemp: 36.8 OC (oral) Glasgo Coma Scale (GCS): 15/15 (Eye = 4, Verbal = 5, Motor = 6) Pain score: 6/10 BGL: 9.6 mmol/L RecommendationsFormal Bloods including: Full Blood Count, Urea, Electrolytes, Creatinine (UEC’s) Arterial Blood GasMonitor GCS and vital observations Alcohol Withdrawal Scale (AWS)Administration of Diuretics and Beta blocker medications as chartedFluid restriction of 1.5 Litres per day and strict fluid balanceDaily weight Health Science Science Nursing NURSING CO 92445 Share QuestionEmailCopy link Comments (0)
