The fast heart beat was associated
The fast heart beat was associated
Dr. Cecil Burnett and other members of the cardiology department consulted on the patient. They felt that his hypoxemia and breathlessness were not secondary to his cardiac status. He had supraventricular cardiac arrhythmias, including atrial fibrillation and atrial flutter. The cardiology staff utilized intravenous medications that control the cardiac rate adequately resolving these cardiac issues.…
You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.…
Facts: On July 4, 1972, Mrs. Mitchell started working at the Center in Lovington as a nurse’s aid. After being there for a year, she had additional duties at to her work load. She now served as a relief medications nurse two days out of the week. Mrs. Mitchell was starting to act out. She had an argument with the head nurse, Mrs. Stroope, in a crowded area of the Center. There was an incident where Mrs. Mitchell came to work out of uniform. On that particular day the Federal Regulation Inspectors were there for a visit. She was told to go home and change, but she refused to do so. The next day she came back into work out of uniform. She was told to go home and change, but this time she did as she was told. On May 24, 1974, she was switched from medications to the floor routine. She was angry and refused to hand out medication. She refused to perform her duties from May to June 4. Mrs. Mitchell was fired on June 4, 1974. Mr. Smith, which is her boss, paid her for that day, a week’s vacation, and another week’s of salary.…
o A 44-year-old male presents to the office complaining of intermittent chest pain. The physician orders an EKG to rule out a possible cardiac event.…
* A 44-year-old male presents to the office complaining of intermittent chest pain. The physician orders an EKG to rule out a possible cardiac event.…
6. What effect did the United States Supreme Court’s decision have on the Texas statute?…
Looking at the patient, Jim continued. "His name is Steve Cambell, and he's 22 years of age. His vital signs include slightly lowered blood pressure (100/70), heart rate of 75 beats per…
As of 2011, there were 3 million people affected by atrial fibrillation with that number expected to increase by 2.5 fold by 2050. The cost of atrial fibrillation is more than $6 billion per year. With numbers like these, it is surprising that there is not a greater amount of research concerning this topic. The study addresses the problem of limited information concerning first-hand information from patients living with atrial fibrillation as demonstrated in the review of literature within the article. The point is made that though conditions such as myocardial infarction, coronary artery disease, and heart failure fall within the same rhelm as atrial fibrillation, this problem is unique to those living with it and deserves to be studied further (McCabe, Schumacher, & Barnason,…
Suppose you are tasked with confidentially interviewing members of a retirement community to see who may be at risk for cardiovascular disease. At the same time, you are asked to help educate the retirement community about what they can do to control their risk of developing a cardiovascular disease. Use the template below to design an interview form you would be able to take to members of the retirement community (age 60 and up). Refer to Ch. 7 of the text, and this week’s articles on cardiovascular health. Remember—you will come into contact with seniors from all walks of life, so write questions that are direct, yet friendly. Apply judgment when writing questions; you cannot possibly cover all forms of cardiovascular disease with one 10-question interview.…
Ms. Tesla comes into the cardiology office, complaining of fatigue, palpitations, shortness of breath with mild activity, ongoing consistently for the past week without any chest pain or syncopal episodes. She is a 75-year-old woman with a history of atrial fibrillation (AFib), controlled type 2 diabetes, myocardial infarction (MI) with a history of percutaneous coronary intervention (PCI) to right coronary artery, stage IV chronic renal failure, and a mild mitral regurgitation on ECHO 7 years ago. Her in-clinic ECG show AFib with ventricular rate of 111 and mild left ventricular hypertrophy, pulse 99 and irregular, blood pressure of 102/72, and grade 1/6 systolic murmur with no rubs or gallops. The rest of the…
Read the following scenarios. Answer, in a 50- to 100-word response, each of the following questions:…
Karen has frequently sought medical assistance for a problem that does not exist physiologically. She interprets her aches and pains as severe, and they seem to persist despite visiting her doctor multiple times, having had tests and CAT scans that reveal no physiological known cause. She has an aversion to hospitals and feels being in them puts her at risk of contracting many other diseases. Frequent use of hand sanitizer is suggestive of an obsessive compulsion to keep herself free from germs. The wearing of sunglasses to block out the florescent lights, is also suggestive of an obsessive desire to protect herself…
Approximately 2.2 million adults in the United States are affected by atrial fibrillation making it the most common sustained cardiac arrhythmia (Ryder & Benjamin, 1999). Atrial fibrillation describes a condition where the electrical signals of the heart are conducted in a rapid and disorganized manner. This uncoordinated conduction causes the two upper chambers of the heart, the atria, to contract very fast and irregularly, thus allowing blood to pool in the two atria.…
Abraham has an alcohol addiction. His addiction started when he was 12 years old as he was drinking his father’s whisky and had difficulty attending school. Abraham states that drinking makes him feel like a ‘big man. If Abraham does not have an alcoholic drink, he becomes quiet and unhappy. His family are all big drinkers and at family parties they drink excessively.…
She said, “I did not have diabetes. My doctor told me to take Metformin 500mg two times a day for two weeks and after that increase the Metformin to 1000mg two times a day. I do not think it is necessary. I always eat healthy and I am an active person”. Furthermore she said that “I have not seen any doctor recently because I have been taking my mother and two grandchildren. I do not feel my age”. I recognized that Mrs. M need education regarding heart disease and diabetes. We provided her with proper education regarding cardiovascular disease and diabetes. We told her that the signs and symptoms of a heart attack could develop suddenly. However, they also can develop slowly-sometimes within hours, days or weeks of a heart attack. Any time you think you might be having attack symptom do not ignore it or feel embarrassed to call for help. Cal 911 for emergency medical, even if you are not sure whether you are having a heart attack because acting fast can save your life. We explained her what A1C is and why it is important to take the Metformin as her doctor prescribed. Furthermore, we explained her the importance of diet, exercise and stress management. She was happy to hear that this program is covered by her…