Congestive Heart Failure PAST HEALTH HISTORY: A 49-year-old man…

Congestive Heart Failure PAST HEALTH HISTORY: A 49-year-old man… Congestive Heart Failure PAST HEALTH HISTORY:A 49-year-old man presented to an emergency department with transient hemiparaesthesias and dysarthria. There was no evidence of stroke on cross-sectional imaging of the head, and he was discharged without a clear diagnosis. Two days later, she returned with acute abdominal pain. Abdominal imaging revealed complete occlusion of the right renal artery, prompting emergency embolectomy.  The client was also diagnosed with hypertension 10 years ago.  The client was home for 1 week after hospitalization when she suddenly developed acute haemoptysis, dyspnoea and hypoxaemia. Chest imaging demonstrated evidence of pulmonary venous hypertension. Cardiac auscultation revealed an opening snap followed by a diastolic murmur with presystolic accentuation.  His current home medications include amlodipine 10 mg once daily, atorvastatin 80 mg once daily, and aspirin 81 mg once a day.  PRESENT HEALTH HISTORYHe is again seeking consultation and presents to the clinic with shortness of breath (SOB) and the nurse noted cyanosis, coughing with blood-tinged sputum and restlessness.  Client reported severe dyspnea and fatigue which occurs when performing simple tasks such as walking. He reports sleeping in a recliner at night due to orthopnea and having sleepless night due to nocturnal urinary frequency.  Physical examination reveals a crackling and wheezing sound, diastolic murmur upon chest and lung auscultation,  distended jugular vein and 3+ pitting lower extremity edema. An echocardiogram demonstrates systolic dysfunction, mild mitral regurgitation, a dilated left atrium, and an ejection fraction (EF) of 30%. Laboratory results show a pro-B-type natriuretic peptide level of 1302 pg/ml.Measurement of vital signs shows blood pressure (BP) of 156/92 mm Hg, a heart rate of 98 beats/min, RR of 42 cycles per minute, an Spo2 of 94%, a temperature of 36.5 °C, a pain level of 2 on a scale of 10, and a weight of 185 lb (84.1 kg).  Make a LIST 5 NURSING PRIORITIZED PROBLEM WITH ETIOLOGY BASED ON NANDA. KINDLY REFER TO THE CASE SCENARIO ABOVE Health Science Science NursingShare QuestionEmailCopy link Comments (0)

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