Nursing case altered oxygenation | Nursing homework help

 

Save Time On Research and Writing
Hire a Pro to Write You a 100% Plagiarism-Free Paper.
Get My Paper

L.S. is a 59-year-old female who goes to see her primary care physician because of increasing fatigue and shortness of breath with activity. She has a history of hypertension, hypothyroidism, rheumatoid arthritis, and rheumatic fever as a child. She is taking the following medications:

  • Triamterene/hydrochlorothiazide (Dyazide) 37.5/25 mg PO daily
  • Levothyroxine (Synthroid) 150 mcg PO daily
  • Methotrexate (Rheumatrex) 15 mg PO every Sunday

Subjective Data

  • Does not exercise, but was always able to do daily activities such as go up and down the stairs of her home and go grocery shopping
  • The last few weeks has noticed that she gets short of breath with her normal daily activities
  • Has been waking up at night short of breath
  • Denies any pain in her chest
  • Does not have any pain in her joints as long as she takes her “arthritis medicine”

Objective Data

Physical Examination

Save Time On Research and Writing
Hire a Pro to Write You a 100% Plagiarism-Free Paper.
Get My Paper
  • Temperature 98.5° F, pulse 88 and irregular, respirations 24, blood pressure 134/82, O2 saturation 92%
  • Irregular heart rate with a grade III diastolic murmur 
  • Crackles in bilateral bases of lungs
  • No peripheral edema noted

Diagnostic Studies

  • ECG shows atrial fibrillation with heart rate of 90
  • Echocardiogram reveals mitral valve stenosis with mild left-sided heart failure
  • Laboratory Studies:
    • Hemoglobin       12 g/dL
    • Hematocrit         37%
    • T4 (total)              5.1 mcg/dL

Discussion Questions

1. What is mitral stenosis? What could be the possible cause of L.S.’s mitral stenosis?

2. What clinical manifestations of mitral valve stenosis does L.S. have?

3. How did the mitral valve stenosis contribute to the development of left-sided heart failure?

4. What clinical manifestations of left-sided heart failure does L.S. have?

5. What are the treatment options for L.S.?

6. What would be some pertinent nursing diagnoses and goals for L.S.?

7. What are the priority nursing interventions for these nursing diagnoses?

 

Calculate your order
Pages (275 words)
Standard price: $0.00
Client Reviews
4.9
Sitejabber
4.6
Trustpilot
4.8
Our Guarantees
100% Confidentiality
Information about customers is confidential and never disclosed to third parties.
Original Writing
We complete all papers from scratch. You can get a plagiarism report.
Timely Delivery
No missed deadlines – 97% of assignments are completed in time.
Money Back
If you're confident that a writer didn't follow your order details, ask for a refund.

Calculate the price of your order

You will get a personal manager and a discount.
We'll send you the first draft for approval by at
Total price:
$0.00
Power up Your Academic Success with the
Team of Professionals. We’ve Got Your Back.
Power up Your Study Success with Experts We’ve Got Your Back.
Open chat
1
Order through WhatsApp!
nursingesssayswritings.com
Hello!
You Can Now Place your Order through WhatsApp

Order your essay today and save 30% with the discount code ESSAYHELP2