course material

1. Discussion: Cardiovascular conditions that may lead to heart failure
Discussion: Cardiovascular conditions that may lead to heart failureDiscussion:
Cardiovascular conditions that may lead to heart failureThe patient has many
complications. The ABC rule is recommended, and, therefore, it is important to control
respiratory problem first. The symptoms are indicative of a patient suffering acute heart
failure. She needs immediate hospitalization and monitoring. Telemetry monitoring is
necessary for 24-48 hours. Additionally, there is need for diuretics, vasodilators, and
inotropic support to perfuse the patient (Joseph et al., 2009). Important vital that should be
taken and monitored closely include weight, serum creatinine levels, fluid balance,
electrolyte levels, and signs of congestion. Tests of BNP, D-dimer, CBC, and liver function are
also important (Joseph et al., 2009).IV furosemide (Lasix) cause prompt diuretic effect
which results in a decrease in ventricular filling pressures. It improves symptoms in
patients suffering ADHF.Enalapril (Vasotec) inhibits angiotensin converting enzyme to
widen blood vessels and reduce water quantity in the blood, and, therefore, reduced blood
pressure (Goons, McGraw, & Murali, 2011).Metoprolol (Lopressor) is a beta1-blocker and
helps in the management of hypertension, heart failure, and angina pectoris.IV morphine
sulphate (Morphine) is effective in reducing preload, heart rate, and afterload, and
eventually reducing the myocardial oxygen demand (Goons, McGraw, & Murali,
2011).Describe four cardiovascular conditions that may lead to heart failure and what can
be done in the form of medical/nursing interventions to prevent the development of heart
failure in each condition.Four possible cardiovascular conditions that may lead to heart
failure include coronary heart disease, hypertension, myocarditis, and arrhythmias
(Anderson, 2016). Coronary heart disease is managed through lifestyle changes, medication,
and surgery, in certain cases. Hypertension is manageable through medication, lifestyle
changes, healthy diets, reducing alcohol, and quitting smoking (Anderson, 2016).
Myocarditis is managed through medication, proper rest, and low salt diets. Finally,
arrhythmia is managed through medication, pulse monitoring, and managing the risk
factors (Anderson, 2016).Taking into consideration the fact that most mature adults take at
least six prescription medications, discuss four nursing interventions that can help prevent
problems caused by multiple drug interactions in older patients. Provide rationale for each
of the interventions you recommend.Nurses prevent problems resulting from multiple drug
interactions by creating an accurate list of all medications of the patients. The list outlines
the generic drugs, brand names, doses, time for dosages, and rationale for taking each drug.
The list improves accuracy of taking drugs and helps patients take the right drug at the right

2. time. The second intervention involves warning patients against sharing drugs. Third,
nurses should warn patients against using old prescriptions/medications. Lastly, nurses
should educate patients on how to take medications correctly, according to
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