Case Scenario Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure. Subjective Data Is very anxious and asks whether she is going to die. Denies pain but says she feels like she cannot get enough air. Says her heart feels like it is “running away.” Reports that she is so exhausted she cannot eat or drink by herself. Objective Data Height 175 cm; Weight 95.5 kg Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58 Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82% Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin Critical Thinking Questions What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications? IV furosemide (Lasix) Enalapril (Vasotec) Metoprolol (Lopressor) IV morphine sulphate (Morphine) Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.
Chief heavenly messenger Uriel: The Wisdom Of God Distributed: 23rd March, 2015 Last Edited: third May, 2017 Disclaimer: This article has been put together by an understudy. This isn't a case of the work composed by our expert exposition scholars. You can see tests of our expert work here. Any assessments, discoveries, conclusions or proposals communicated in this material are those of the writers and don't really mirror the perspectives of UK Essays. The Archangel Uriel is one of the four chief heavenly messengers that administer over the four corners of the Earth. The other three are Michael, Gabriel, and Raphael. Uriel is the minimum specified of these four chief heavenly messengers, on the off chance that he is said by any stretch of the imagination. As indicated by a few customs, there are seven chief heavenly messengers. However, even in these records, these four are the most noticeable. There are insufficient references to Uriel in sacred writing. Jewish sacred text does not say the chief heavenly messengers by name. In Christianity, Uriel shows up in the Gnostic rendition of the Bible where we take in his name signifies "The Light Of God". Uriel is otherwise called the blessed messenger of Wisdom. His domain is in the psychological plane where considerations, thoughts, and inventiveness live. As "The Light of God", the Archangel Uriel sparkles the light of truth and insight where there is murkiness, double dealing, and disarray. Uriel additionally causes individuals to control their feelings, directing them to discharge outrage and defeat uneasiness, both of which are deterrents to picking up astuteness. The lead celestial host gives direction in perceiving and staying away from hazardous circumstances. The Archangel of Salvation, Uriel demonstrates to individuals generally accepted methods to mend and brings pardoning t the individuals who inquire. Convention shows that Uriel remains before the entryways of Heaven and denies access to all who have neglected to love God. Uriel additionally offers unrestricted absolution and holds the keys that open the doors. Uriel is said regularly in fanciful sacred text and other early religious compositions that did not make it into what we presently know as The Bible. The lead celestial host is credited with saving John the Baptist from the Massacre of the Innocents the ruler requested after finding out about the introduction of Jesus. Jewish convention holds that Uriel checked the entryways for sheep's blood amid the Egyptian sicknesses. Uriel is likewise one of the chosen few holy messengers who are permitted to enter the prompt nearness of God. Amid medieval circumstances, Uriel was viewed as the heavenly wellspring of warmth in the winter. In Catholic custom, Uriel is the benefactor holy person of expressions of the human experience. He is additionally the supporter holy person of science, in view of the chief heavenly messenger's relationship with shrewdness, and of those looking for the ceremony of Confirmation. The Coptic Christians adore Uriel. To numerous different Christians, be that as it may, Uriel stays obscure. There is no specify of Uriel in authoritative sacred text. In 745 AD, Pope St Zachary censured the congregation's fixation on holy messengers, saying that it verged on blessed messenger love which is taboo by the Ten Commandments. He did, be that as it may, favor the respect of certain named blessed messengers. Uriel was one of numerous holy messengers that were left off of this rundown. In spite of the endeavors of Pope St. Zachary, numerous individuals still adore Uriel, particularly among Kabbalists and Eastern Orthodox Christians. Uriel's Feast Day is July 28th as the chief heavenly messenger's impact is considered to top amidst the mid year. Uriel stands protect over the late spring, controlling the aging of the grain collect and the blooming of a huge number of blossoms. Making A Connection With Uriel Interfacing with Uriel is winding up progressively basic among individuals in the New Age development and Christians investigating their own further deep sense of being. There is nobody rectify approach to make an association with the Archangel Uriel. What is vital is that you discover a strategy that is agreeable for you. Supplication is clearly the most widely recognized strategy for interfacing with Uriel. Nonetheless, the impact of New Age magic has caused a development in the fame of contemplation as a methods for adoring the lead celestial hosts. Since chief heavenly messengers are ever-present otherworldly creatures, you can interface with them at whatever point and wherever you are. Chief heavenly messengers have a noteworthy inclination to appear to mankind in dreams and dreams. This is especially valid for Uriel, who works fundamentally in the domain between the physical and the otherworldly. Through Prayer Individuals regularly implore Uriel to concede them insight. Spontaneous contact with Uriel is uncommon and is by and large connected with somebody turning into a researcher or a prophet of God. Uriel likewise controls us on our profound trip as we change from our negligible physical and licentious nature to one that is all the more heavenly and of God. The chief heavenly messenger instructs is the way of astuteness and nobility, driving us to our fate of being joined with God in Heaven after our demise. Uriel is likewise the holy messenger of music, expressions of the human experience, science, and prescience. Individuals who are effectively keen on each or these regions are urged to connect with Uriel to mediate for their benefit with God. The lead celestial host causes us to conquer worry in our life, calming our brains and enabling us to discover inward peace. At whatever point life turns out to be apparently terrible, Uriel is the chief heavenly messenger who keeps us grounded in our confidence and leads us through disturbing and turbulent circumstances The essential technique individuals use to contact Uriel is through petition. The demonstration of supplicating enables us to discuss straightforwardly with God and His heavenly attendants. Supplication is normally a restricted correspondence from us to the heavenly as we look to have our voices heard. At times, individuals will get a specifically conveyed answer amid their petitions. Regularly, in any case, the solutions to our petition happen after some time. As one of the heavenly attendant who is permitted to be available with God, Uriel is a capable partner in your supplication life. God tunes in to His heavenly attendants and awards them space to follow up for His sake. Uriel's task is to give individuals astuteness in every way. The chief heavenly messenger controls our basic leadership and mitigates our uneasiness. He enables us to think and see the world with a reasonable personality and stable feelings so we can settle on the correct decisions that eventually convey us nearer to God. Accordingly, Uriel encourages us explore the profound domain and makes our entrance into Heaven conceivable. For the individuals who are new to the demonstration of supplication, formal petitions are to a great degree helpful. God and His heavenly attendants comprehend what we are considering and what we will state before we say it. All things considered, God needs us to connect with Him so we can utilize our own freewill to take after and adore Him, in this manner developing in His soul. In the event that you have not supplicated previously, formal customary petitions can extricate your tongue and open your heart to a devout life. Here is a case of petition you can use as you start your journey to carton an association with Uriel, the Angel of Wisdom. A Prayer For Wisdom St. Uriel the Archangel You are the Light of God The Angel of Wisdom It would be ideal if you appeal to God for me Allow me insight With the goal that I may comprehend the will of God Discharge me from tension Relieve my spirit Open my heart What's more, direct me along the way of exemplary nature With the goal that I may go along with you Within the sight of the Lord So be it A Prayer Of Thanksgiving St. Uriel, I say thanks to God for the endowment of your direction Furthermore, I thank you for the endowment of your intelligence Lead celestial host Uriel, you manage my choices and keep me on the equitable way You alleviate my brain and convey agreement to my spirit You facilitate my grieved heart and discharge me from tension For these things I thank you and give you laud In the sacred name of God our Father Chief heavenly messengers regularly answer supplications in ways that are not promptly clear to. Imploring regular sets you up to comprehend the appropriate responses. Through experience, you will pick up the capacity to perceive the solutions to your supplications from minor luck. God and His holy messengers are ever present which implies they see your life completely while you encounter it one minute on end. Answers to petition come in God's opportunity, not man's. Through confidence you will comprehend the solutions to your petitions and how they influence your life. Petition can occur wherever you happen to be. Holy places like holy places and houses of worship offer tranquil and sacred spots where we can associate with the awesome, yet you don't need to go to those puts in request to ask. All you require is your spirit, and open heart, and quietude. The words will come when you are prepared. There are two essential types of petition - formal and casual. Formal petitions are the supplications that are gone down through chapel convention or more current supplications that take after a similar shape. They by and large begin by recognizing who is being appealed to and respecting or loving them, The individual asking at that point lowers themselves and influences their supplication to ask. Casual supplications don't take after a customary shape. While their tone is more respectful than easygoing talking, the words themselves are for the most part ad libbed on the spot or are words that are by and by significant to the person who is supplicating. Interfacing With Archangel Uriel Through Traditional Formal Prayer Formal supplication encourages us to talk with God and his blessed messengers when our own words fizzle us. At the point when the group asked Jesus Christ how they should go to God, he gave them The Lord's Prayer. Plainly, any type of supplication will work on the off chance that it is unassuming and legit. The utilization of conventional formal supplications makes the demonstration less demanding. Amid distressing circumstances, we can battle to locate the correct words to state. Formal petition gives us those words as a beginning stage from which we can include our own particular words later is we wish. Utilizing a formal petition additionally shows us how to ask without anyone else. Conventional petitions take after established structures that, once learned, can be utilized to create something more individual. For quite a long time, individuals were oppressed and now and then executed for presenting these supplications. Knowing this makes presenting these petitions today an intense and lowering background. Saying The Rosary The Rosary is presumably the most surely understood sort of formal supplication. Utilizing a chain of globules, a man discusses a progression of customary petitions vene>GET ANSWER