care plan on congestive heart failure? and care plan on pulmonary edema?

Question

please i need the solution as soon as possible.

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Answer 1

Weigh the pts daily and if their weight goes up more than 2 lbs in a day or 5 lbs in a week, call the doctor
Accurate intake and output is important to determine if the pt is retaining water
Low salt diet to reduce water retention
Vital signs every 4 hours while in the hospital
Listen to lung sounds to determine if the pt has rales or abnormal sounds which indicate CHF
Pulse oximetry should be checked to make sure the pts having adequate oxygenation. Usually it should be above 95% or close to it.
Pay close attention to the pts respiratory rate to determine if they are tachypneic. It they have an 02 saturation of 95% and respiratory rate is high (above 20) They need oxygen applied to slow down there respirations and help them breath
Monitor there lab values, especially the sodium, potassium and the creatinine since all of these can be adversely affected by CHF or the medications given for CHF.
Make sure the pt is taking there medications as directed. Many elderly people quit taking there diuretics because it makes them have to walk to the bathroom often. They dont seem to understand sometimes if they dont take it, they are going to go into CHF.
Check them for pitting edema
Elevate their legs if they can tolerate it to make the swelling go down.
Check for neck vein distention which is an indicator of fluid overload
Call the result of the pts BNP to the MD. He should already know what it is.
I could go on and on and on....

Answer 2

1

Answer 3

Care Plan For Pulmonary Edema

Answer 4

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