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Hello i need a Good and Positive Comment related with this argument .A paragraph with no more 100 words. Angela Beglarian 3 posts Re:Topic 3 Mandatory Discussion Question Mrs. J is having some serious symptoms at the time of her admission and the appropriate nursing interventions for her will be taking her vital signs, performing a systematic assessment to prioritize care in an appropriate manner, finding the cause of her current symptoms, and initiating an appropriate treatment. In addition, patients presenting with acute dyspnea from acute decompensated heart failure (ADHF) should be rapidly assessed and stabilized (Colucci, 2017). Some of initial laboratory testing’s that must be completed are CBC, UA, serum electrolyte levels, liver function tests, BNP, NT-proBNP, ECG, chest radiography, cardiac troponin T and I, TSH and lipid profile. Managing her low oxygen saturation of 82% will be the first priority based on the airway, breathing, and circulation rule used by medical professionals. To control her shortness of breath and oxygen saturation of 82%, Mrs. J will require a non-rebreather facemask to deliver high-flow percent oxygen. Also, she will need to be in a seated posture to help her with her breathing and the volume overload based on her symptoms of all peripheral pulses of 1+, bilateral jugular distention, pulmonary crackles, and coughing. As presented in the scenario, Mrs. J is having many organ system complications. She is having respiratory, cardiovascular, and gastrointestinal problems that are causing her current health condition. She is experiencing acute decompensated heart failure that requires rapid care in the ICU where she will be continuously monitored. For this, Mrs. J will require continuous cardiac monitoring to prevent further threatening conditions. Also, administration of multiple drugs to control her symptoms will be required. Mrs. J needs supplemental oxygen to manage her shortness of breath, ionotropic agents to increase the strength of muscular contraction of her heart, diuretics to reduce edema and volume overload, and vasodilators to improve cardiac output, hemodynamics, and symptoms. Drug therapy of IV furosemide, enalapril, metoprolol, and morphine sulphate was started for Mrs. J to control her symptoms. The rationale for administration of IV furosemide (Lasix) is to reduce the volume overload and produce better outcomes by relieving symptoms and improving oxygenation. In addition, furosemide is a loop diuretic (water pill) that prevents one’s body from absorbing too much salt and allows the salt to instead be passed in urine. It is used to treat fluid retention (edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome. The rationale for Enalapril (Vasotec) is to relax blood vessels so blood can flow easily and decreases the amount of work the heart has to do. It also blocks a substance in the blood called angiotensin that is made as a result of heart failure. The rationale for Metoprolol ( Lopressor) is to control symptoms of heart failure that are made worse by certain hormones called catecholamines. They also work by slowing the heart rate and slowing the progression of heart failure. Beta-blockers are also used together with other medicines that are usually used to treat heart failure, such as angiotensin-converting enzyme (ACE) inhibitors or diuretics. The rationale for IV morphine sulphate (Morphine) is reduce anxiety and decrease the work of breathing. Morphine is thought to produce mild vasodilatation, induce respiratory relaxation and exert a calming effect on those with agitated dyspnea. Despite empiric use, there is limited evidence in support of morphine in acute HF and several small trials suggesting potential harm. Moreover, in ADHERE (Acute Decompensated Heart Failure Registry), morphine use was found to be an independent predictor of in-hospital mortality (Levy & Bellou, 2013). Coronary artery disease is a cardiovascular condition in which cholesterol and fatty deposits build up in the heart’s arteries that causes less blood to reach the heart muscle. This build up is knows an atherosclerosis. This can cause chest pain or heart attack. CAD also can contribute to having high blood pressure over time that may lead to heart failure. Interventions to prevent development of heart failure due to CAD can be done by making some lifestyle changes. High blood pressure, high blood levels of lipids (LDL, total cholesterol, and triglycerides), diabetes, smoking, and obesity are risk factors for coronary artery disease. Eating a diet low in fat, losing weight if overweight, exercising on most days, quitting smoking, controlling high blood pressure and diabetes, getting cholesterol checked regularly and seeing doctor for regular follow-up visits can have a major effect on reducing the chances of having a heart failure. Hypertension is another cardiovascular condition that may lead to heart failure. When pressure in the blood vessels is too high, the heart has to pump harder than normal to keep the blood circulating. This takes a toll on the heart, and over time the chambers get larger and weaker. People who are at risk of developing heart failure, may need to get a prescription for a medication to keep their blood pressure below 130/80 mm Hg. Untreated high blood pressure, or hypertension, can lead to an enlarged heart and heart failure. To prevent heart failure due to hypertension, it is important that people with hypertension eat food low in fat and salt, eat more vegetables and low-fat dairy products, lose weight if overweight, limit alcohol intake, exercise regularly, quit smoking, and take high blood pressure medications as prescribed by their physician. Myocardial infarction is also a cardiovascular condition that may lead to heart failure. It is when an artery that supplies to the heart muscle gets blocked and the loss of oxygen and nutrients damages the heart’s muscle tissue and some part of it essentially dies. This damaged heart tissues then does not contract as well which weakens the heart’s ability to pump blood. Patients who had MI in the past must follow-up with their physician and be compliant with their prescribed medications. Lastly, abnormal heart valve is another cardiovascular condition that may lead to heart failure. It may results from disease, infection(endocarditis) or a defect present at birth. When the valves don’t open or close completely during each heartbeat, the heart muscle has to pump harder to keep the blood moving. If the workload becomes too great, heart failure results. To prevent heart failure people who have abnormal heart valve must follow-up with their physician for any early symptoms that they may be experiencing so their physician can prescribe treatment before it gets worse. Older adults are at risk for polypharmacy. This is when they take multiple medications concurrently to manage their coexisting health problems such as hypertension or diabetes. This becomes problematic when multiple healthcare providers working independently of each other prescribe different medications for the older patient. This can cause drug interactions if those health care providers are not aware of the older adults complete medication list. To prevent this from happening it is important that these patients get educated on importance of taking their medications with them when they visit another healthcare provider. It is important for them to keep an accurate list of all medications, including generic and brand names, dosages, dosing frequency, and reason for taking the drug. Nursing interventions that can help prevent problems caused by multiple drug interactions in older patients are by reviewing older patients medications to ensure medications prescribed are appropriate to the patients and that there is no drug interactions, verifying that the patient understands and agrees to the regimen which can reduce changes of double dosing. Patient education is a key intervention to assist older adults with medication management. When patients have knowledge of their drugs it is positively associated with adherence. Also, advising to use a medication pill box to organize medications have found to increase medication adherence and prevent missing or double dosing. Medication schedules and calendars are helpful, especially in combination with education and use of a pill box. Therefore, monitoring medications and patients adherence to their medication is an ongoing process and health care professionals can educate patients and their family members on the medications patient is taking and reporting of any abnormal side effects or ask any questions they may have regarding their medications.

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Hello i need a Good and Positive Comment related with this argument .A paragraph with no more 100 words . Jed Eisma 2 posts Re:Topic 3 Mandatory Discussion Question Based on the patient condition of acute decompensate heart failure, the nursing interventions for include having the patient have supplemental oxygen and continuous positive airway pressure (CPAP) related to the patients’ health history of sleep apnea and has been a lifelong smoker. The patient will need breathing treatments as needed and continuous pulse oximeter monitoring. Moreover, Mrs. J will need a chest x-ray, electrocardiography, and follow lab tests from CBC, CMP with focus towards BNP with normal levels to be < 100 pg/ml with regards to patients Atrial fibrillation and possible rapid ventricular rate (Held, 2009; Ellis, 2017). Management of the condition involves four main hemodynamic drug modalities which include beta-blockers, vasodilators, diuretics, and ACE inhibitors. Likewise, for HF patients they may receive medications such as IV nitroglycerin and in need of cardiac monitoring and if the condition escalates may need to be transfer to a critical care setting. Moreover, the patient should be on restrict fluid and low sodium diet and close monitoring of I&O, foley measurements and electrolyte. Furosemide (Lasix) is a loop diuretic to control the symptoms of heart failure. Primarily in conjunction with a low sodium diet, it is the first line of therapy for HF patients and particular with this ADHF patient which “because of greater and more consistent bioavailability of the drug. Diuretic dosing should be individualized, although common initial doses of loop diuretic agents in patients with normal renal function include furosemide (40 mg, intravenously)” (Joseph et al., 2009). Enalapril (Vasotect) is a ACE-inhibitor are often considered another medication to implement as a initial therapies to be implemented regarding heart failure by decreasing blood pressure, aldosterone secretion, sodium, and fluid loss (Joseph et al., 2009). Metoprolol (Lopressor) decrease myocardial oxygen demand, in doing so by improving the patients activity tolerance as well as improving the ejection fraction. It does so by reduction of the hearts excitability, reducing the cardiac workload through decreasing renin section and thus the blood pressure (Joseph et al., 2009). IV Morphine Sulphate decreases preload and afterload which in turn lowers cardiac workload. It is important to monitor VS, with caution of use related to respiratory depression and possible dependence. Monitoring I&O and encouraging breathing exercises (Joseph et al., 2009). ADHF patients have sign and symptoms of which include “hypotension, worsening renal function, or altered mental status should be considered high risk and hospitalized, dyspnea, tachypnea, or hypoxemia (again, oxygen saturation of <90%) at rest,” and can include “hemodynamically significant arrhythmia, including atrial fibrillation with rapid ventricular response, warrant hospital admission—as does any patient who presents with evidence of an acute coronary syndrome” (Joseph et al., 2009). According to the American Heart Association is involve coronary artery disease, hypertension, heart disease like myocarditis/cardiomyopathy, and abnormal heart rhythm (arrhythmia or dysrhythmia) (American Heart Association, 2017). When it comes to coronary artery disease – cholesterol build up (atherosclerosis) that’s reducing blood flow and oxygen to heart which can lead to the develop of HF. Smoking cessation, low sodium diet and reduction of cholesterol based foods, and increase activity. Uncontrolled hypertension is another problem through which can develop through the blood vessel’s increasing cardiac workload with the vessels weakening overtime. Following prescribed BP medications with regards to alongside reduction in unhealthy diet, increase in physical activity, stress, and decrease in alcohol consumption are steps to follow. Conditions of cardiomyopathy will need close monitoring as it may not be apparent. However, treatment include that of healthy diet, physical therapy, healthy weight management, reduction in stress, and compliance with BP medications such as ACE, ARB, beta blockers, and calcium channel blockers (American Heart Association, 2017). Abnormal heart rhythms such as arrhythmia especially with patients that have Afib are managed through the following, “reduce high blood pressure, control cholesterol levels, lose excess weight, eat a heart-healthy diet, avoid tobacco smoke, and enjoy regular physical activity” (American Heart Association). As nurses, accurate listing of the drugs and following the 8 right of medication administration provides a cohesive list that provides the nurse a comprehensive understanding and check on all medications to be given. Polypharmacy is a major issue and as such includes patient education of when to take them as a means of medication compliance. This also follows patients bringing in unverified medication that is old or usages of alternative herbal therapies that may have contraindications. Patient needs to know that such medications may have severe adverse to medications she is taken whilst being hospitalized. Lastly, patients should understand that the full dosage must be taken as taking partial dosages reduce patient outcomes as the full treatment is not being met. Nursing Assignment Help 2025

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Hello i need a Good and Positive Comment related with this argument .A paragraph with no more 100 words . Jed Eisma Mucormycosis is a considered a life-threatening disease, that is an amalgamation of infections that come from the organism mucorales belonging to a group of fungi Mucoromycotina. It usually involves individuals with “uncontrolled diabetes; malignancy; hematopoietic stem cell transplant or solid organ transplant; persistent neutropenia; prolonged corticosteroid therapy; skin trauma, burns, or surgical wounds; iron overload; intravenous drug use; malnourishment; and premature infants” (Centers of Disease Control, 2011). In terms of exposure, most often associated with inhalation from environments that contain fungal spores. Moreover, can involve sinus and brain infection involving rhinocerebral infection – a sinus infection that affects the brain stem nerves. In addition, it affects the lungs (pulmonary mucormycosis) which exacerbates the individuals condition of pneumonia that can distribute to other sections of the body which includes the chest cavity, brain, and heart (Medicine Plus, 2016). The main signs and symptoms include the following for sinus infections (fever, headache, and sinus pain), skin (fever, and tenderness, pain, heat, excessive redness, or swelling around a wound) and lung infections (fever, cough) (Centers of Disease Control and Prevention, 2011). Abnormal labs that are present HCO3 29 meq/L (22-26 meq/L) and pH 7.50 (7.35-7.45), which suggest metabolic alkalosis. Moreover, the patient has a decreased Pa02 of 59 mm Hg on room air (80-100), reduced oxygenation circulating and and is alkalotic and is partially compensated – PC02 of 25 mm Hg (35-45 mm Hg). Moreover, the individual also has an elevated WBC of 15,200/mm³ (5-10,000/mm³) and lymphocytes of 10% which revolves the patient having an infection. Patient also has an elevated fasting blood sugar of 138 mg/dl (60-110 mg/dl) as the patient is fighting the infection and the body is trying to compensate. Medication treatments involve two antifungal treatment which is “amphotericin B products and posaconazole, isavuconazole with activity against Mucorales…posaconazole in an oral formulation that can be administered safely for prolonged periods makes it an attractive agent for long-term primary and secondary prophylaxis” (Kontoyiannis & Lewis, 2011). These treatment is involved to reduce or halt the spreading to the disease whilst treating other comorbidities. Likewise, consultation for infectious disease specialist and surgeon should be seen as the patient may need surgery debridement or surgical resection to address the decaying of tissue and possible removal. These complications include the following which are “blindness, meningitis, brain abscesses, osteomyelitis, pulmonary hemorrhages, gastrointestinal hemorrhages, cavitary lesions in organs and eventually secondary bacterial infections, sepsis, and death may occur” (Medicine Net, 2015).”,Hello i need a Good and Positive Comment related with this argument A paragraph with no
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Week 3 Assignment to be focused on bedside nursing Note: Topic is bedside nursing To begin, work through the reference list that was created in the “Section B: Problem Description” assignment in Topic 2. Appraise each resource using the “Rapid Critical Appraisal Checklists,” available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource. Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the “Evaluation Table Template,” available in the textbook appendix. Use the “Evaluation Table Template” as an adaptable template. Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following: Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria). Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations. Incorporate a description of the validity of the internal and external research. It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer-reviewed professional journal articles. Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Upon receiving feedback from the instructor, refine “Section C: Literature Support” for your final submission. This will be a continuous process throughout the course for each section.

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