CHF nursing situation
Patient is a 82 year old male who presented to the ED at 5am for shortness of breath worsening over the past day, PMH includes CHF, HTN, hyperlipidemia, CAD s/p cardiac stents in 2014, DM, osteoarthrtis, BPH, depression, CKD st 3
Admitted for CHF exacerbation, pneumonia, acute on chronic renal disease
You receive him on the floor at 11:30 am, he appears to be alert and oriented, but lethargic, states he hasn’t taken any home meds yet today, has not eaten yet either. Lives at ALF, uses walker
In the ED, he received IV furosemide 40mg, 650mg Tylenol, 500mg IV levofloxacin and an albuterol/ipratropium nebulizer treatment
Selected labs, diagnostics, and orders
Urine – blood
Urine – leukocytes
Urine – culture
COVID 19 PCR – negative
bilateral infiltrates, pleural effusions
sputum sample to be collected
normal sinus rhythm on tele monitor
170/64, P55, R23, O2 90% room air, temp 100.4, ht 178cm, wt 90kg
Diet: cardiac, 1800 ADA, 1 liter free water restriction
Activity: as tolerated
home medications – have all been profiled to MAR
IV potassium 10 meq
Consults pending – cardiology, ID, nephrology
former smoker, quit 35 years ago
does not drink alcohol
did not get flu shot this year
What would you expect breath sounds may be like (document this in EHR)?
What would you expect skin condition/lower extremities to be like (document this in EHR)?
What interventions would you perform (safety, patient care, medication, etc)
What else are you concerned about when assessing?
Think about questions to ask the patient so you have a better report to give to consulting providers if they call
What does each medication do? Would you hold any?
Additional assessment to document in EHR:
GI – bowel sounds in all quadrants, soft non-tender
GU – noted this in urinal
Cardiac S1S2, pulses ok in all ext, normal cap refill
HEENT – seems a bit hard of hearing, head without wounds, eyes, nose, oral mucosa ok. Has dentures (upper and lower)
Resp – seems to cough a lot after drinking water/taking pills
Pain – no issues
IV – left forearm 20g, flushes well, no leaks
Possessions – has glasses, iPhone, bottle of home tramadol
Retired engineer, married, lives at ALF with spouse
Why Choose Us
We value our clients. For this reason, we ensure that each paper is written carefully as per the instructions provided by the client. Our editing team also checks all the papers to ensure that they have been completed as per the expectations.
Professional Academic Writers
Over the years, our Acme Homework has managed to secure the most qualified, reliable and experienced team of writers. The company has also ensured continued training and development of the team members to ensure that it keep up with the rising Academic Trends.
Our prices are fairly priced in such a way that ensures affordability. Additionally, you can get a free price quotation by clicking on the "Place Order" button.
We pay strict attention on deadlines. For this reason, we ensure that all papers are submitted earlier, even before the deadline indicated by the customer. For this reason, the client can go through the work and review everything.
At Essay USA, all papers are plagiarism-free as they are written from scratch. We have taken strict measures to ensure that there is no similarity on all papers and that citations are included as per the standards set.
Customer Support 24/7
Our support team is readily available to provide any guidance/help on our platform at any time of the day/night. Feel free to contact us via the Chat window or support email: email@example.com.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Essay USA has stood as the world’s leading custom essay writing services providers. Once you enter all the details in the order form under the place order button, the rest is up to us.
At Essay USA, we prioritize on all aspects that bring about a good grade such as impeccable grammar, proper structure, zero-plagiarism and conformance to guidelines. Our experienced team of writers will help you completed your essays and other assignments.
Admission and Business Papers
Be assured that you’ll definitely get accepted to the Master’s level program at any university once you enter all the details in the order form. We won’t leave you here; we will also help you secure a good position in your aspired workplace by creating an outstanding resume or portfolio once you place an order.
Editing and Proofreading
Our skilled editing and writing team will help you restructure you paper, paraphrase, correct grammar and replace plagiarized sections on your paper just on time. The service is geared toward eliminating any mistakes and rather enhancing better quality.
We have writers in almost all fields including the most technical fields. You don’t have to worry about the complexity of your paper. Simply enter as much details as possible in the place order section.