MRS. J CASE STUDY 1
Mrs. J Case Study
Name
Institutional Affiliation
, MRS. J CASE STUDY 2
Clinical Manifestation in Mrs. J
The case study shows that Mrs. J had a history of hypertension, CHF and COPD. Her
condition is getting worse, owing to her continued smoking and reluctance to take medications.
The manifested symptoms such as fever, productive cough, nausea, and malaise are preliminary
precursors of the worsening health condition. The patient cannot carry out routine activities like
walking without assistance. Other than the observable features, the patient’s objective data shows
she has a low blood pressure of 90/58, a high heart rate of 118, irregular, high ventricular rate,
and faint PMI. These symptoms indicate respiratory complications that are exacerbating heart
failure and COPD.
Appropriateness of the Nursing Interventions
One of the medications administered is IV Furosemide (Lasix), which is a diuretic. It
reduces the amount of water and salt in the body as it blocks the absorption of sodium and
chloride. It controls the excess fluid in the body, thus reducing blood pressure. Enalapril is an
ACE inhibitor, given to Mrs. J to dilate blood vessels to improve the flow of blood and
oxygenation to the heart. According to Ricci et al. (2016), ACE inhibitors improve the function
of the kidney, heart, and eye and peripheral nerve function. Metoprolol (Lopressor) is a beta-
blocker. It reduces the heart rate and inhibits isoproterenol-induced tachycardia. The case of Mrs.
J. Shows she had a heart rate of 118, yet the normal heart rate of an adult is 60 to 100 beats, an
indication that she is suffering from tachycardia. IV morphine sulfate is an opioid analgesic used
for pain treatment. It helps improve vasodilation, induce respiratory relaxation and thus applied
to Mrs. J to yield a calming effect on her condition. The provision of a short-acting
bronchodilator is a relief for relaxing muscles around the airways to prevent and treat wheezing
and difficult breathing.
Mrs. J Case Study
Name
Institutional Affiliation
, MRS. J CASE STUDY 2
Clinical Manifestation in Mrs. J
The case study shows that Mrs. J had a history of hypertension, CHF and COPD. Her
condition is getting worse, owing to her continued smoking and reluctance to take medications.
The manifested symptoms such as fever, productive cough, nausea, and malaise are preliminary
precursors of the worsening health condition. The patient cannot carry out routine activities like
walking without assistance. Other than the observable features, the patient’s objective data shows
she has a low blood pressure of 90/58, a high heart rate of 118, irregular, high ventricular rate,
and faint PMI. These symptoms indicate respiratory complications that are exacerbating heart
failure and COPD.
Appropriateness of the Nursing Interventions
One of the medications administered is IV Furosemide (Lasix), which is a diuretic. It
reduces the amount of water and salt in the body as it blocks the absorption of sodium and
chloride. It controls the excess fluid in the body, thus reducing blood pressure. Enalapril is an
ACE inhibitor, given to Mrs. J to dilate blood vessels to improve the flow of blood and
oxygenation to the heart. According to Ricci et al. (2016), ACE inhibitors improve the function
of the kidney, heart, and eye and peripheral nerve function. Metoprolol (Lopressor) is a beta-
blocker. It reduces the heart rate and inhibits isoproterenol-induced tachycardia. The case of Mrs.
J. Shows she had a heart rate of 118, yet the normal heart rate of an adult is 60 to 100 beats, an
indication that she is suffering from tachycardia. IV morphine sulfate is an opioid analgesic used
for pain treatment. It helps improve vasodilation, induce respiratory relaxation and thus applied
to Mrs. J to yield a calming effect on her condition. The provision of a short-acting
bronchodilator is a relief for relaxing muscles around the airways to prevent and treat wheezing
and difficult breathing.
