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Running head: CASE STUDY MRS. J. 1 Case Study Mrs. J. ASDFG HJKL Grand Canyon University: NRS-410V Pathophysiology and Nursing Management of Clients' Health March 22, 2020
CASE STUDY MRS. J. 2 Case Study of Mrs J This patient reported fever, persistent cough, malaise and nausea to the Emergency department over three days prior to admission. According to Mrs. J., she was unable to execute everyday life tasks and could only walk short distances with help. The results in the ER suggested CHF decompensation and COPD exacerbation.They had low PMI, bilateral jugular vein distention, pulmonary crackles, and 82% Sp02. There is a probability that Mrs. J also has pneumonia caused by fluid retention in the lungs. Increased NP rates are reported to be associated with the extent of left ventricular systolic dysfunction, right ventricular dysfunction and strain, and left ventricular loading changes. "(Pallazuolo, Gallotta, Quatrini, & Nuti, 2015). Another useful diagnosis could be an ABG to assess Mrs. J's PH, PaO2 and CO2 rates.It's a simple method to determine Mrs. J's oxygen requirements. The alternative diagnosis of COPD exacerbation is evidenced by the fact that Mrs. J. The respiratory rate was 34, the difficulty of doing ADLS and walking, and the pulse oximetry was 82%. Interventions Oh, Mrs. J. Lasix IV was given to drain excess fluid from her lungs. It is the first therapy for CHF as it happens rapidly and eliminates breathing problems. Lasix is a diuretic loop that works by blocking the absorption of sodium, chloride and water from Henle's Loop in the renal tubules. The initiation of action occurs within 30 minutes if IV and diuresis are issued for 6 to 8 hours.Mrs. J's BP should be tracked because her blood pressure was 90/58