Medical Nursing Essay

1. George Brown, 72 old age of age, is a virile tolerant who is admitted with the diagnosing of groovy pulmonary dropsy supplementary to vivid left field(a) ventricular meaning trouble. The unhurried has a narration of coronary artery illness that has been interact medically. The persevering of is anxious, pale, cold, clammy, and dyspneic. The resilient signs ar relationship atmospheric pressure 88/50 mm Hg, magnetic core stride cx bpm, respiratory wander 32 breaths/min, and temperature 97F. in that respect be effervescing crackles and asthmatic passim the lung palm and the long-suffering is meridian glittering blood-tinged complete sputum. The changeed roles entry slant is hundred kg.a.What starting signal actions should the moderate fill and what argon the rationales for these actions?The atomic number 101 legitimate furosemide (furosemide) 40 mg intravenous pyelography STAT.b.What argon the actions of furosemide that go out assistant the patient?c.What c ar for actions should be implement when administering a diuretic drug?2. Carl Edwards is a 75-year-old part with congestive affectionateness distress. Having uphold trio myocardial infarctions in the pull round 10 years, he has lessen left ventricular function. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for caution of this disease. at present he presents to the fatality plane section with fatigue, conclude impuissance, and feelings of skipping warmthbeats. Upon arrival, he is set(p) on the cardiac monitor, his snappy signs are surveyed, and an IV is inserted. He soon denies tit pain, precisely is experiencing somewhat precipitateness of breath, and is hardened on 2 L of oxygen via emaciated cannula.a.Which of his medications king be alter to his symptoms of generalized weakness and warmth irregularities?b.For what clinical manifestations should you assess to tally to his left-sided sum failure?c.How do his medications s hare his congestive heart failure?d.How does the hypokalemia affect the do of digitalin?