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Scenario 3 Define Asthma, Chronic Obstructive Pulmonary Disease Identify the Signs and Symptoms of Right and Left Heart failure Nursing Management of a patient on 02 Therapy Nursing Management of a patient in Heart Failure

Answer 1

Asthma=hypersensitivity reaction to the upper respiratory system which result into bronchospsam,mucosal odema,muscle contraction leads to respiratory distress is called asthama.

COPD=chronic ovstructive pulmonary disease is a disease effecting in the lungs which leads to dyspnoea.this includes chronic bronchittis(blue butter disease)or emphysema(pink puffer disease)

Right side heart failur symptoms=

1.right ventricular failure.

2.increase central venous presure

3.portal hypertension

4.jugular vein distension.

5.spleen enlargement

6.hepatomegaly.

7.ascitis

8.dependant swelling in peripheral region

9.increased blood presure

Left side heart failure:

1.left ventricular failure.

2.pulmonary hypertension

3.pulmonary odema

4.white sputum

5.dyspnoea

6.increased respiratory rate

7.crackle sound when auscultating.

8.low oxygen in the tissues.

Nursing managemen of patient on oxygen therapy:

1. Provide comfort postion eg.semi fowlers position

2.check vital signs every hourly.

3.check oxygen saturation.

4.check the airway.

5.apply proper mask to get adequate oxygen.

6.check the flow rate and water in the oxygen tube.

Nursing mangement of patient with heart failure:

1.Medication as per order

2.monitor vital signs contineously

3.monitor ECG for variation.

4.check oxygen saturation.

5.semi fowlers position.

6.proper diet.

7.assist for personel hygiene.