We Write Custom Academic Papers

100% Original, Plagiarism Free, Customized to your instructions!

Which of the following findings is the highest priority?

Which of the following findings is the highest priority?

Which of the following findings is the highest priority?
NUR117: Infant Heart Failure

11. A nurse is admitting a 4-month-old infant who has heart failure to the cardiac unit. Which of the following findings is the highest priority? (Click on the “Exhibit” button below for additional client information.

Infant Heart Failure
Infant Heart Failure

ACE inhibitors prevent, attenuate, or possibly reverse the
pathophysiological myocardial remodeling. In addition,
they decrease afterload by antagonizing the rennineangiotensin aldosterone system.28 According to recent

guidelines of The International Society of Heart and Lung
Transplantation on the management of pediatric HF, ACE
inhibitors are recommended in all patients with HF and left
ventricular systolic dysfunction.29 Therapy with ACE inhibitors should be started at low doses with a subsequent
up-titration to the target dose with careful monitoring of
blood pressure, renal function, and serum potassium.

9.5. b blockers-b blockers are now an accepted therapy in the pediatric
population. b blockers antagonize the deleterious effects of
chronic sympathetic myocardial activation and can reverse
left ventricular remodeling and improve systolic function.

Recent reports seem to show that the addition of b blockers
to the standard therapy may be useful in patients with left
ventricular systolic dysfunction.30 In addition, a recent
Cochrane Database of Systematic Reviews on b blockers for
children with congestive HF was published. Seven studies
with a total of 420 children were included in the review and
the authors conclude that the current available data suggest
that children with HF might benefit from b-blocker treatment.31 Low-dose therapy should be started in stable patients with a progressive up-titration to the target dose.

9.6. Inotropes-Digoxin is the main oral inotropic drug used in PHF and is
indicated in symptomatic patients with left and/or right
ventricular systolic dysfunction.32 The use of intravenous
inotropes should be reserved for patients with a severe
reduction of cardiac output resulting in compromised vital
organ perfusion (hypotensive acute/decompensated HF).

Although increased inotropy results in improved cardiac
output and blood pressure, the final result is increased
myocardial oxygen consumption and demand.
The failing myocardium has a limited contractile reserve
and hemodynamic collapse can occur with high-dose
inotropic support in this setting.

9.7. Sympathomimetic amines-Dopamine and dobutamine have been shown to be effective
inotropes and vasopressors in neonates, infants, and children with circulatory failure. These drugs increase cardiac
output and decrease systemic and pulmonary vascular
resistance; however, they can induce tachycardia/tachyarrhythmia with a mismatch between myocardial oxygen
delivery and the requirement.33 Therefore, we reserve the
use of these drugs only for patients with low cardiac output
despite other therapies.

Our Service Charter
1. Professional & Expert Writers: Nursing Experts .org only hires the best. Our writers are specially selected and recruited, after which they undergo further training to perfect their skills for specialization purposes. Moreover, our writers are holders of masters and Ph.D. degrees. They have impressive academic records, besides being native English speakers.
2. Top Quality Papers: Our customers are always guaranteed of papers that exceed their expectations. All our writers have +5 years of experience. This implies that all papers are written by individuals who are experts in their fields. In addition, the quality team reviews all the papers before sending them to the customers.
3. Plagiarism-Free Papers: All papers provided by Nursing Experts .org are written from scratch. Appropriate referencing and citation of key information are followed. Plagiarism checkers are used by the Quality assurance team and our editors just to double-check that there are no instances of plagiarism.
4. Timely Delivery: Time wasted is equivalent to a failed dedication and commitment. Nursing Experts .org is known for timely delivery of any pending customer orders. Customers are well informed of the progress of their papers to ensure they keep track of what the writer is providing before the final draft is sent for grading.
5. Affordable Prices: Our prices are fairly structured to fit in all groups. Any customer willing to place their assignments with us can do so at very affordable prices. In addition, our customers enjoy regular discounts and bonuses.
6. 24/7 Customer Support: Nursing Experts .org, we have put in place a team of experts who answer to all customer inquiries promptly. The best part is the ever-availability of the team. Customers can make inquiries anytime.

  • Home
  • About Us
  • Services
  • Prices
  • Guarantees
  • Contact Us
Free resources
  • Free Essays
  • Essay tips
  • Essay types
  • Plagiarism Checker
Dissertation help
  • Free consultation
  • Essay examples
  • Buy essay
  • Dissertation assistance
  • Free dissertations
  • Coursework help
nursingexperts.org  ©2017- 2021  All rights reserved. Terms of use | Privacy Policy