Home Visit With Sallie Mae - Essay Example

College: Sallie suffers from cardiopulmonary complications that include congestive heart failure, atrial fibrillation, hypertension anddyspnea. A congestive heart failure is indicated by trouble waking up, clouded mind and loss of appetite. The resulting irregular in heart function are the most probable causes of heart failure and chest pain that Sallie has been experiencing. Hypertension is indicated by high blood pressure, constant headaches and difficulty waking up in the morning. Moreover, a slow heart beat at 56 per minute is an indication of dyspnea.

Slightly Lower heart beat and cloudy mind might have been triggered by insufficient supply of oxygen to the brain. Lack of enough oxygen is the main cause of a clouded mind hence the need for the administration of oxygen (Grand Canyon University, 2013). The visiting nurse approached Sallie well, made her feel appreciated and went ahead to assure her that her condition is manageable. To show her concern for what Sallie was going through, the nurse requested her to talk about her late husband.

In the medical profession, sharing a patient’s personal problem is important in creating a patient-physician relationship. Like in Sallie’s case where loneliness is one of the stumbling blocks to her recovery, the talk gave her an opportunity to discuss her problems. Efferox was administered at bedtime to treat depression (Grand Canyon University, 2013). The strength of the prescribed drug is an indication that the Sallie was under too much psychological trauma probably because of her medical condition and lonelinessTo help alleviate the symptoms of congestive heart failure, Sallie was advised to take multivitamins and potassium supplements because she could not provide the body with sufficient quantity of vitamins because of poor appetite.

Her poor appetite is also as a result of loneliness because she feels like she has nothing to live for. To relieve her chest pains and headache, she was advised to take ibuprofen and darvocet. Digoxin was administered to help her fight heart failure and rhythm problems. Zocar was prescribed to enhance weight loss and help in the prevention of cardiovascular diseases (National heart lung and blood institute, 2011). For hypertension, Lasix was prescribed to treat her blood pressure problem and help her system get things back on track.

Minipress Was given to treat high blood pressure and enhance the relaxation of the muscles around the urethra. Vasotec was administered together with other drugs to help in lowering of sallies blood pressure and manage other symptoms that could trigger heart failure. To ensure that the medication is effective, SallIe was advised to take it twice in a day because blood pressure comes down gradually. Oxygen prescription was aimed at increasing oxygen supply to the body because the patient was experiencing instances of dypsnea.

Calan was administered to help in relaxing the heart and blood muscles hence alleviate the atrial fibrillation problem. Pliroscec and furosemide were prescribed to help deal with the Oedemo that resulted from Sallie’s heart and blood pressure problems. The drugs help the kidneys remove excess water that is not needed by the body (National heart lung and blood institute, 2011). Lanoxin was given to slow down heart beat rates as well as increasing the its strength, thus controlling heart failure and atrial fibrillation.

According to the physical examination report, the irregularity of the heartbeat led to fast heart beats, chest pains and sending of uneven electrical signals to the brain. Nitroglycerin ointment was prescribed to prevent angina through relaxing blood vessels and thus the heart does not require high work rates and oxygen quantity to function normally. ReferencesGrand Canyon University, (2013). Sallie Mae Fisher’s Health History and Discharge OrdersGrand canyon university, (2013). http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php. Retrieved on 08 April 2013National Heart Lung and Blood Institute, (2011).

http://www.nhlbi.nih.gov/health/health-topics/topics/af/. Retrieved on 08 April 2013