A Short Note On Failure Of Congestive Heart Failure

2853 Words Sep 3rd, 2014 12 Pages
Congestive Heart Failure
Brian Kucera
Long Beach City College
ADN 45AL
Sigrid Sexton, RN, MSN, FNP August 30th, 2014

Congestive Heart Failure
Basic Conditioning Factors
Patient R.M. is an eighty-year-old Caucasian male. His religion is Christian. R.M. was retired from work. He is a husband, father and grandfather per his wife. R.M. had no known allergies and is a full code status. He has a past medical history of diabetes, coronary artery disease, heart valve disease, atrial fibrillation, congestive heart failure (HF), hypertension and kidney disease. His wife was at bedside attentive to his care. The diagnostic tests performed showed he had severe congestive heart failure and was in need of an arterial graft in his coronary arteries. The nurse on shift was Vivian and the doctor assigned to R.M. was Doctor Linton. The development level that R.M. falls in at eighty years old was integrity versus despair. He displayed the characteristics of being in the category of despair.
He was admitted to Long Beach Memorial Medical Center (LBMMC) on July 23rd, 2014 with a chief complaint of chest pain and dyspnea. The pain was occurring for three to four days with a non-productive cough. He was having severe orthopnea, requiring two pillows just to fall asleep. Once asleep, R.M was having nocturia forcing him to wake up several times a night. He finally decided to go to the emergency room, which is when he was admitted to the third floor.
Physiology of the Heart The…
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