Running head: Case Study: Mrs. J. 1
MrsJ Case Study
NRS-410V
Case Study: Mrs. J.
, Case Study: Mrs. J. 2
Mrs. J.
Upon admission, it appears that Mrs. J. has many complications, one is suffering from
acute respiratory distress, as evidence by the subjective data of impending doom, anxiety,
exhaustion, and feeling as though she cannot get enough air. Which is likely related to fluid
accumulation in her lungs or pulmonary edema, causing hypoxia, secondary to her extensive
smoking, hypertension, and chronic heart failure. Following the rules of ABC; secure and
maintain a patent airway, Mrs. J’s oxygen saturation was 82% and will most likely continue to
drop. Administering oxygen first, with a non-rebreather mask, while observing the need for
ventilation and support as warranted. At least one intravenous (IV) access should be initiated for
administering medications, IV fluids should be used with extreme caution.
She will require inpatient monitoring such as: telemetry that should be initiated and
continued for 24-48 hours after admission date, with pacer pads in the event cardioversion is
needed (Heart Failure, n.d.). She will require a combination of diuretics; a urinary catheter might
be needed for concise output monitoring during diuretic therapy. Vasodilators, and inotropics to
achieve adequate perfusion. Mrs. J will require monitoring of frequent vital signs, daily weights,
same time of day and same clothing, fluid intake; blood work such as: electrolyte levels, serum
creatinine levels, BNP, liver function, D-dimer and CBC are recommended. Signs and symptoms
of congestion, as well (Heart Failure, n.d.).
1. IV furosemide (Lasix)- A diuretic inhibits re-absorption of sodium and chloride from
renal tubules, therapeutically, this will lead to mobilization of excess fluids, diuresis
and decreased blood pressure. Effective management and mobilization of fluid
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MrsJ Case Study
NRS-410V
Case Study: Mrs. J.
, Case Study: Mrs. J. 2
Mrs. J.
Upon admission, it appears that Mrs. J. has many complications, one is suffering from
acute respiratory distress, as evidence by the subjective data of impending doom, anxiety,
exhaustion, and feeling as though she cannot get enough air. Which is likely related to fluid
accumulation in her lungs or pulmonary edema, causing hypoxia, secondary to her extensive
smoking, hypertension, and chronic heart failure. Following the rules of ABC; secure and
maintain a patent airway, Mrs. J’s oxygen saturation was 82% and will most likely continue to
drop. Administering oxygen first, with a non-rebreather mask, while observing the need for
ventilation and support as warranted. At least one intravenous (IV) access should be initiated for
administering medications, IV fluids should be used with extreme caution.
She will require inpatient monitoring such as: telemetry that should be initiated and
continued for 24-48 hours after admission date, with pacer pads in the event cardioversion is
needed (Heart Failure, n.d.). She will require a combination of diuretics; a urinary catheter might
be needed for concise output monitoring during diuretic therapy. Vasodilators, and inotropics to
achieve adequate perfusion. Mrs. J will require monitoring of frequent vital signs, daily weights,
same time of day and same clothing, fluid intake; blood work such as: electrolyte levels, serum
creatinine levels, BNP, liver function, D-dimer and CBC are recommended. Signs and symptoms
of congestion, as well (Heart Failure, n.d.).
1. IV furosemide (Lasix)- A diuretic inhibits re-absorption of sodium and chloride from
renal tubules, therapeutically, this will lead to mobilization of excess fluids, diuresis
and decreased blood pressure. Effective management and mobilization of fluid
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Distribution of this document is illegal
