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Simulation.docx - Running Head: SIMULATION FOR MARIA AND...

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Running Head: SIMULATION FOR MARIA AND KEOLA1Multi-client simulation: Maria Hernandez and Keola AkanaStudent’s NameInstitutional Affiliation
SIMULATION FOR MARIA AND KEOLA2Multi-Client simulation: Maria Hernandez and Keola AkanaMaria Hernandez, 81, with urinary tract infection (UTI) and who visitedemergency room (ER) for acute confusion has these vital signs; temperature 101.6oF,heart rate 110, respiratory 20, and blood pressure 96/60. She is alert and oriented toperson and place only and has reported poor eating and drinking habits.Keola Akana, 71, who was urgently brought in had an acute left sided heartfailure. He weighed 210 pounds from 217 pounds 2 days ago. Both scenarios happenedon Monday at 1400.Priority assessments for left-sided heart failure patients and how to differentiate itfrom the right-sided heart failure clients.Left-side heart failure patients portrays increased heart rates, oxygen saturationbelow normal, restlessness, confusion, fatigue, weakness, consciousness level change andlung crackles may be heard. Dry coughs, breathing difficulties while lying down flat,frothy sputum, pink-tinged sputum, urinating increased rates at night and alternatingweak and strong pulses may also be experienced (Thibodeau & Drazner, 2018).Right-sided heart failure patients may exhibit ascites, murmurs and weight gain.Liver enlargement, bilateral body edema, nausea, gastrointestinal area bloating and rightquadrant pain and jugular venous distention in the neck may also be noted neck (Gorter etal., 2018).Two common medication classes for left-sided heart failure patients and two nursingconsiderations for each medication class.
SIMULATION FOR MARIA AND KEOLA3Angiotension-Converting-Enzyme (ACE) inhibitors and Angiotension II ReceptorBlockers Enzyme (ARBs) medication classes can be used to treat left-sided heart failurepatients (Bateman et al.,2017). In ACE, stop medication after 3 to 4 days if patient is

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Term
Summer
Professor
Lisa South
Tags
Nursing, Health care provider, urinary tract infection, Maria Hernandez

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