Mrs J
Mrs. J having all the sign and symptom with the history of having hypertension, chronic heart failure, sleep apnea, and smoke two pack of cigarettes a day, is not a thing to play with because she has expose herself to many things such as stroke, and brain death because the sleep apnea and the heart attach, will deprives the brain of oxygen since the cardiac muscle are not strong enough to be able to pump blood to her brain. Heart failure occurs when the cardiovascular system is unable to meet the metabolic demands of the body. Her being in ICU is nice because she needs all the intensive care needed to prevent her condition from having a negative outcome. Using the vital signs that is already given, the ICU nurse will now reassess her again, compare the vital and then create a baseline. With all the information she collected, she already is aware of the breathing issue first since airway is our priority, she will be position in a cardiac position to ease pressure off her lungs so she can breathe. The nurse will establish a relationship with Mrs. J that will help calm down her anxiety that she is in safe hands. When doing that, the nurse will look into the physician order and have all Mrs. J medication given in a timely manner. Perform all screening if order by the physician, wait for results and give the physician a feedback for further follow-up. The rational for administering IV Lasix in Mrs. J condition, is due to the heart failure and respiratory issues she is having because IV Lasix is an anthranilic acid derivative that is used as a strong diuretic. Lasix is also use with antihypertensive drugs to control hypertension. A loop diuretics are the single most effective agents available to decrease circulating blood volume and reduce signs of congestion. They act via inhibition of the Na+/k+/cl- cotransporter in the thick ascending loop of Henle. This leads to increase renal sodium and chloride excretion, with subsequent free water loss, IV Lasix