Case study Essay Example | Topics and Well Written Essays - 500 words - 55

Case study - Essay Example In addition, active care will mean routine patient evaluation of circulatory status with exercise and at rest. From the active multidisciplinary approach, Mr. P will reduce hospitalization incidents that result to increased hospital costs that have ended up depressing his wife. Since Mr. P demonstrates some degree of clinical instability, further medical therapy is required following evidence-based guidelines. Through active care clinic visits, Mr. P’s condition is manageable through the use of antidiuretics and fluid sodium restrictions with the therapeutically intention of treating edema and restoration of extracellular fluid compartment to normal (Cooper, 2011, p. 21). Proper management of Mr. P’s edema will contribute greatly in eliminating shortness of breath or labored breathing. In addition, the use of antidiuretics will promote Mr. P’s response to drugs like ACE inhibitors and beta blockers that are approved for managing patients with cardiomyopathy that results to systolic dysfunction of the heart’s left ventricle. However, patients demonstrating intolerance to ACE drugs require additional Isosorbide dinitrate and Hydralazine hydrochloride or Angiotensin II receptor blockade (Costantini, Boyd, Huck, Carlson, & Buchers, 2001, p. 178) Daily weight checks are essential in ensuring that the Mr. P does not have any weight changes due to fluid retention which is also reflected in shortness of breath and moist crackles on lungs. The best way to identify weight gain will be to know Mr. P’s dry weight or weight taken in the absence of edema. Mr. P will be trained on how to calculate his weight gain by subtracting his presently measured weight from the dry weight. (Costantini, Boyd, Huck, Carlson, & Buchers, 2001). Since he is managing edema, the resulting difference is expected to decrease with the right patient compliance. For both Mr. P