Country : Australia
Assignment Task
Pathophysiology of the Clinical Manifestations - Systolic Heart Failure - Nursing Assignment Help

The purpose of this assessment is to enable students to:
1. Explain in a visual format (concept map) the causes, pathogenesis, clinical manifestations, diagnostic procedures, management, course, prognosis, and prevention of systolic heart failure.
2. Explain the underlying pathophysiology of the clinical manifestations of an acute exacerbation of chronic systolic heart failure.
3. Discuss nursing strategies and evidence-based rationales to manage a patient with an acute exacerbation of chronic systolic heart failure - acute pulmonary oedema.
4. Describe the nursing role and responsibilities in the use of pharmacological interventions related to an acute exacerbation of chronic systolic heart failure.

Details
You are to develop a concept map for the topic systolic heart failure and answer three questions related to an acute exacerbation systolic heart failure. References are to include six (6) recent, relevant references including journal articles, textbook material and evidence-based resources.

Guided Questions 
Case study

Mrs Brown, a 78-year-old female, was admitted to the Emergency Department at 6am after waking up with severe breathlessness. Her family informed you that the patient has a history of heart failure that had been diagnosed two
5 years ago. On admission to the Emergency Department the signs & symptoms were:
– Severe dyspnoea
– Respiratory rate of 24 breaths/minute
– SpO2 85%, on room air
– BP 170/95mmHg
– Pulse rate of 120 beats/minute
– Auscultation of lungs identifies bilateral basal crackles
Mrs Brown was connected to an ECG monitor that showed atrial fibrillation. A diagnosis of acute exacerbation of chronic systolic heart failure was made.
Question 1. 
Explain the pathogenesis causing the clinical manifestations with which Mrs Brown presented.
Question 2. 
Discuss two high priority nursing strategies to manage Mrs Brown and provide evidence-based rationales for these strategies.
Question 3. 
Two of the drugs that were given to Mrs Brown were IV Furosemide (Lasix) and sublingual Glyceryl Trinitrate (GTN).
a. Discuss the mechanism of action of these two drugs, and relate to the underlying pathogenesis of an acute exacerbation of chronic systolic heart failure. When answering questions:
– Responses are to use full sentences, paragraphs, correct spelling and grammar. Although this is not an essay. using paragraphs will help strengthen your discussion and add clarity. Try to stick to one central theme in each paragraph.
– The word limit for the guided questions is 1250 words. The word limit allocated for each question is only a guide and is based on the weighting of the marks for each question. The total for the 3 questions is but you can have more or less for each question if required.

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  • Uploaded By : Koby Mahon
  • Posted on : December 23rd, 2018

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