Complete the case study on heart failure. Using the information in the case study, write a short essay discussing what plan of care you will create for the patient. Your paper should include a title page and at least 3 references. Minimum word count is 1000 words. Include the following in your essay:
Briefly explain pathophysiology between right and left heart failure
Explain what diagnostic testing is used for heart failure
Provide the risk factors
Provide the clinical manifestations
Provide 2 nursing diagnosis using the NANDA format NANDA (2012) NANDA Nursing Diagnosis List. (These priority nursing diagnoses for this patient
Impaired gas exchange, Decreased cardiac output, Noncompliance, Ineffective peripheral tissue perfusion, and Excess fluid volume.
Provide 3 expected outcomes-do not give definition but actual nursing interventions to help a patient with heart failure
Provide 4 nursing interventions-do not give definition but actual expected outcomes that a nurse wants to see and obtain while caring for a heart failure client
Conclude your paper by discussing how you will evaluate your plan of care.
Assignment Expectations
Structure: Include a title page and reference page in APA style. These do not count towards the minimal word count for this assignment.
Case Study
Heart Failure
Case Study: Heart Failure
approx 30 min
Patient Profile
Mrs. Dowling is a 77-year-old woman who saw her health care provider for dyspnea. She is now being admitted to the hospital for acute heart failure. She was diagnosed with heart failure 6 years ago. She is currently taking the following medications:
Furosemide 40 mg PO daily
Potassium chloride 20 mEq PO daily
Enalapril 10 mg by mouth BID
Subjective Data
Was taking furosemide at home but ran out 2 days ago and has not been able to refill her prescription
Complains of difficulty breathing; had to ‘sleep in the chair’ last night
Has some swelling in her feet that is worse than usual
Objective Data
Physical Examination
Temperature 98.4° F, pulse 92, respirations 24, blood pressure 144/86, oxygen saturation 89% on room air
Height 5’5”,weight 170 lb
Alert and oriented to person, place, and time
Fine crackles bilateral lower lobes
Shortness of breath with minimal exertion
S1 and S2 without murmur or extra heart sounds
Capillary refill sluggish in lower extremities, normal in upper extremities
2+ pitting edema bilateral lower extremities
Interprofessional Care
Admission orders include:
Oxygen 2 L per nasal cannula
Furosemide 40 mg intravenous BID
Enalapril 10 mg by mouth BID
ECG now
Vital signs with pulse oximetry every 4 hours
2-gram sodium diet
Accurate 24-hour intake and output (I/O)
Daily weight
