Discussion:Interventions Appropriate for Mrs J.

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Elevate head of bed to patient’s comfort Oxygen administration Suction as needed EKG/imaging studies IV placement Laboratory studies/Lactic/ABG’s Medication administration Monitor vital signs Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications? Need to keep in mind that the patient’s blood pressure is 90/58 and all the above medications can cause hypotension. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition. Four conditions that present in Mrs. J’s case is obesity 95.5 kg = 210lbs, smoking, hypertension and irregular heart rate. From a nursing standpoint it is important to educate the patient on the importance of maintaining a healthy lifestyle diet and exercise, smoking cessation and medication compliance. On admission we will address her emergent health presentations and start the social work/case management referral to find out how we can assist the patient to continue on her road to recovery. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend. Help teach the patient about the medications that have been prescribed. Keep it as simple as possible. Organize the medication in an order that can be easily followed. Keeping a list of all the medications along with the name of the providers and pharmacy number available. Most importantly to take the list of all current medications with them to their appointments (American Nurse Today, 2017). American Nurse Today. (2017). Preventing polypharmacy in older adults. Retrieved from: https://www.americannursetoday.com/preventing-polypharmacy-in-older-adults/ Medscape. (2017). Retrieved from: http://emedicine.medscape.com/article/2145340-overview

 

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