What are the most significant teaching aspects for basil

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Reference no: EM133510971

Case: Basil is a 59 year-old male with a history of coronary artery disease who was admitted to the hospital for increasing lower extremity edema, abdominal swelling and shortness of breath. Basil noted an approximately 27 pound weight gain over the past month. During the past week has had three pillow orthopnea.

On physical examination, Basil is a well-developed, well-nourished male in moderate respiratory distress. Blood pressure 130/70, pulse 99, respirations 28 and labored. His body weight is 101 kg.

Cardiac exam shows he had an S1, S2, and S3 without S4 or murmur.

His pulmonary exam was remarkable for bilateral crackles 2/3rd up both lung fields.

The abdomen was enlarged with a positive fluid wave.

Lower extremities were remarkable for 3+ pitting edema.

Basil's daily urine output was June 30- 800 mls, July 1^st 350 mls, July 2^nd 150 mls, and July 3^rd 100 mls.

His lab work has been the following:

	June	July 1	July 2	July 3
Sodium	130	133	134	133
Potassium	4.9	5.7	5.8	6.0
Chloride	100	90	91	93
Total CO₂	22	20	17	15
BUN	20	87	94	101
Creatinine	0.9	3.0	3.5	3.7

Renal ultrasound is without masses or cysts. There is no hydronephrosis.

Urine lytes- (July 2nd) sodium 10 mmol/L and creatinine 130 mg/dl

Address the following:
1. What are the 3 most important nursing diagnoses?
2. What are the most significant teaching aspects for Basil?
3. What are some complications you need to be aware of as Basil's bedside nurse?

Reference no: EM133510971

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