Nursing Assignment | Nursing Essay Questions

Lettie, a 65 year-old diabetic woman, had been experiencing increasing fatigue, dyspnea on exertion, orthopnea and paroxysmal nocturnal dyspnea (PND). In addition, her ankles remained swollen and she complained to her physician that her appetite was decreased. Physical examination revealed an obese woman with bilateral pitting edema of the ankles, hepatosplenomegally, shortness of breath on mild exertion, crackles on auscultation and hypertension. Based on echocardiography results, a diagnosis of chronic heart failure was made.

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  1. Name the symptoms associated with left-sided (systolic) heart failure and those associated with right-sided heart failure. Which does Lettie show symptoms of?
  2. What relationship does Lettie’s long-term hypertension and obesity have to her diagnosis of heart failure?
  3. In Lettie, which do you think came first, the left-sided or right-sided failure? What led you to that conclusion?
  4. What medical therapies will probably be used to treat Lettie’s chronic left heart failure?. Get  Nursing Assignments  Help Today

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