Nursing Interventions That Are Appropriate For Mrs. J.

1716 Words Oct 21st, 2016 7 Pages
Nursing interventions that are appropriate for Mrs. J. at the time of her admission
In year 2000 and 2010, an estimated 1 million hospitalizations for Congestive Heart Failure (CHF), of which most of these hospitalizations were for those aged 65 and over, the share of CHF hospitalizations for those under age 65 increased from 23% to 29% over this time period (Hall, Levant, & DeFrances, 2012). According to Held (2009), acute decompensated heart failure (ADHF) ensues when cardiac output fails to meet the demand of the body’s metabolic needs. The fluid volume overload makes the unstable condition necessitates instant treatment for the reason that it impairs perfusion to systemic organs, endangering their function.
Nursing interventions that are appropriate for Mrs. J. at the time of her admission includes comprehensive nursing assessment
• Weighing of the patient daily at the same time with the same clothing and on the same scale preferably in the morning time after urination in order to monitor fluid overload level for 2-to-3 pounds gain in a day or five pounds in a week
• Monitoring of intake and output in order to identify and evaluating the negative balance that is more output than input as evidence of pulmonary crackles, distended bilateral jugular vein and decrease breath sound
• Examine the skin turgor and mucous membrane for signs of dehydration
• Monitoring of the vital signs should be closely monitored (pulse, blood pressure, respiration and pulse oximetry
•…
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