complaint shortness of breath

complaint shortness of breath get help at

complaint shortness of breath

 

A 78-year-old man is admitted to the hospital with the chief complaint or shortness of breath. He states the shortness of breath has been increasing over the past 2 months and is aggravated by exertion. He has found that he often awakens at night with a sensation of smothering that is partially relieved when he gets up and opens the window. He has had not ankle swelling or edema noted. Past medical history is only positive for myocardial infarction 8 years ago. He currently does not have complaints of chest pain. BP is 140/98. When the nurse listens to his heart, she hears a normal S1 and S2 with a rate of 88. When listening to the lungs, the nurse notes bibasilar crackles. There is no peripheral edema.complaint shortness of breath The admission diagnosis for the patient was left-sided heart failure. Describe the pathophysiology of left-sided heart failure. Which of the clinical manifestations given in the case would be found in a patient with left-sided heart failure and why? How does left-sided heart failure impact pre load, after load, and contractility? Describe other clinical manifestations the nurse would monitor for in this patient. Which clinical manifestations would be seen in only left-sided failure? Which symptoms would occur if right-sided failure was present also? Describe why the patient would have the following classification of drugs administered by the nurse? a. Diuretics b. ACE inhibitors c. beta -blockers complaint shortness of breath