The purpose of this assessment is to enable students to:
1. Explain in visual format (concept map) the causes, pathogenesis, clinical manifestations, diagnostic procedures, management, course, prognosis and prevention of a chronic condition (left heart failure). (Learning outcome 1)
2. Discuss the implications for nursing practice in relation to caring for a person with an acute exacerbation of chronic heart failure. (Learning outcome 2)
3. Describe the nursing role and responsibilities in the use of a pharmacological intervention (frusemide) related to an acute exacerbation of chronic heart failure. (Learning outcome 3)
develop a concept map for the topic left heart failure and answer two questions related to an acute exacerbation of chronic heart failure.
Question 1. (450 words) (Learning outcomes 1 and 2)
A nursing implication when caring for a person with an acute exacerbation of heart failure is the need to manage fluid volume excess.
a) Explain the pathogenesis that leads to fluid volume excess when a person has developed an acute exacerbation of chronic heart failure (i.e.acute left ventricular failure).
b) Discuss two nursing strategies used to manage pulmonary oedema, a consequence of fluid volume excess and provide evidence-based rationales for these strategies.
Question 2. (300 words) (Learning outcome 3)
Intravenous frusemide (Lasix) is used in the management of an acute exacerbation of chronic heart failure.
c) Explain the mechanism of action of frusemide.
d) Discuss the nursing implications when frusemide is given to a patient with an acute exacerbation of chronic heart failure.
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