Answer To: NRSG353 Assessment Task 2 –Case Study Due Date: 3rd April at 5pm via Turnitin Weighting: 40% Word...
Soumi answered on Mar 26 2020
Running Head: NRSG353 ASSESSMENT 2 1
NRSG353 ASSESSMENT 2 9
NRSG353 ASSESSMENT 2 –CASE STUDY
(SELECTED CASE STUDY = 1)
Table of Contents
1. Causes, risk factors and incidence of Congestive cardiac failure and its impact on Mrs McKenzie as well as her family 3
2. 5 signs and symptoms of Congestive cardiac failure; linking them to the underlying pathophysiology 4
3. 2 common classes of drugs used for patients with Congestive cardiac failure with their physiological effect on body 5
4. Nursing care strategies to be used within first 24 hours of admission for Mrs McKenzie 6
References 8
1. Causes, risk factors and incidence of Congestive cardiac failure and its impact on Mrs McKenzie as well as her family
Congestive cardiac failure is the condition of the human body, when the heart does not function properly and fails to pump enough blood through the cardiac cycle. As mentioned by Colombo et al. (2015), the key causes of congestive cardiac failure could be coronary artery disease, hypertension and blocked valves. In case of Mrs Sharon McKenzie, she had had an issue of myocardial infarction, which might have been due to the blockage of valves inside her heart that could cause congestive cardiac failure in her, currently. Besides, she had been on a prescription of a daily consumption of warfarin 4mg, which is a medicine to prevent blood clots in the heart. Hence, this relates to her having acquired congestive cardiac failure. Not only these, she also has high pressure that is 170/110, which can also cause her current medical condition because hypertension is also a cause of this disease.
The risk factors of this medical condition are hypertension, obesity, diabetes and sometimes abnormal levels of thyroid in the body. Mrs McKenzie is an elderly woman aged 77 years old. Although she has not exhibited to have been an obese or diabetic; however, she does have high levels of blood pressure, thus making her vulnerable to developing this disease. As mentioned by Reddy, Melenovsky, Redfield, Nishimura and Borlaug (2016), the occurrence of coronary artery disease could also be attributed as a risk factor for this. In case of Mrs McKenzie, since she has been suffered from myocardial infarction at the age of 65 years, she might have been prone to congestive cardiac failure since then.
The incidence of congestive cardiac failure can take place in two ways that are diastolic and systolic heart failure. As stated by Mahmood, Levy, Vasan and Wang (2014), the systolic heart failure takes place when the contraction at the left ventricle is inappropriate, leading to insufficient flow of blood into the double circulation cycle of the human body. On the other hand, diastolic failure takes place when the dilations of the left ventricle are not proper, leading to less volume of blood being filled into this chamber. In case of Mrs McKenzie, she must have been suffering from the systolic heart failure because her systolic pressure is higher than normal than that of the diastolic pressure.
This condition could lay emotional impact on the family and adverse physical impact on Mrs McKenzie, because she is not being able go for walks with her husband and do garnering, which shows her capabilities to do things she enjoys have been curtailed due to this medical condition.
2. 5 signs and symptoms of Congestive cardiac failure; linking them to the underlying pathophysiology
The issues of congestive cardiac failure are illustrated on the body of the patient, with the help of the following signs and symptoms, which are indeed the consequences of their individual pathophysiology:
Signs and Symptoms
Pathophysiology
Shortness of breath
Also known as dyspnoea, shortness of breath is a common symptom of the patient suffering from congestive cardiac failure. The patient is shown to have exhibited rapid breathing or inability to breath, which indicates through their breathing pattern. It is so because according to Munzel, Gori, Keaney Jr, Maack and Daiber (2015), the heart in a condition of congestive cardiac failure fails to pump in and out sufficient volume of blood, which is why an obvious effect is that the heart receives insufficient amount of oxygen. As a result, the patient feels uneasiness in breathing.
Swelling of legs and feet
Due to the lack of blood supply to the other parts of the body, there occurs an accumulation of the deoxygenated blood at different body parts. As supported by Kasper et al. (2015), the oxygenated blood is not...