Preview

Acute Ventricular Teaching Plan

Better Essays
Open Document
Open Document
1201 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Acute Ventricular Teaching Plan
Pharmacology Teaching Plan

The patient is a 70 years old man, admitted in Clinton Cardiology Center for repeated chest pain, fainting, hypotension, thoracic discomfort and cough, which appeared suddenly the same day. The clinical exam showed: cold, pale, sweated skin, dyspnea, tachycardia, a diastolic murmur in the third intercostal space near the sternum edge, a third degree systolic murmur above the lower sternum, and a blood pressure of 80/60 mmHg. The electrocardiogram showed signs of right ventricular overload. The patient was known with arterial hypertension form 2009, had an episode of atrial fibrillation and deep vein thrombosis of the right calf in 2005 and had a hip replacement
…show more content…
It works by activating a substance that helps to break up blood clots. Blood clots can prevent oxygen and nutrients from getting to the heart, which causes tissue death and long-term damage to the heart. It’s indicated for use in the management of acute myocardial infarction (AMI) in adults for the improvement of ventricular function following AMI, the reduction of the incidence of congestive heart failure and the reduction of mortality associated with AMI. Reteplase is given by injection into a vein (IV). Generally, it is given as 10 + 10 unit double bolus injection. Each bolus given over 2 minutes. With the 2nd bolus given, an initial dose follows by a second dose 30 minutes later. Two 10 unit bolus injections are required for a complete …show more content…
Protect patient from injury by maintaining limited mobility during drug therapy this helped to prevent any falls since he’s a high risk for falls. By monitoring his vital signs, especially blood pressure and pulse (Decreasing blood pressure, increase in pulse may indicate internal bleeding) this reduced risks for any internal bleeding. Patient understands the risks and benefits of the drug therapy. The teaching plan is reasonable and effective as well and if implemented today would serve to teach the patient and assist him to better manage the MI and prevent other related complications such as hypertension, embolisms, dyspnea and

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Case Study on Putul Barua

    • 322 Words
    • 2 Pages

    HISTORY OF PRESENT ILLNESS: Mr. Barua is a 42 year old gentleman from Bangladesh who presents with chest tightness, shortness of breath, and tachycardia. Dr. J.K. McClain of cardiology is evaluating his heart condition. The patient has had the recent onset of hemoptysis. He was treated for tuberculosis in Bangladesh fifteen years ago. This has prompted the concern of whether his treatment for tuberculosis was adequate or whether there is another cause for his hemoptysis. The duration of his tuberculosis was apparently adequate, according to his wife. But no records are available. In addition, the patient had thrombosis of the axillary artery treated last year at Hillcrest. He had an embolectomy and has been on Coumadin since. INR is significantly elevated at 16. None the less, because of the cavitary lesions that are seen in the right and left upper lobes, the possibility of tuberculosis has been raised. Ancillary history was given by the patient’s wife Nupur, with the patient translating for her from the Hindi language.…

    • 322 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Hillcrest Medical Case 3

    • 1628 Words
    • 7 Pages

    HISTORY OF PRESENT ILLINESS: Mr. Barua is a 42 year old gentleman from Bangladesh who presents with chest tightness, shortness of breath, and tachycardia. Dr. J.K McClean of cardiology is evaluating his heart condition. The patient has had the recent onset of hemoptysis. He was treated for tuberculosis in Bangladesh 15 years ago. This has prompted the concern of weather his treatment of tuberculosis was adequate or if weather there is another cause of his hemoptysis. The duration of his tuberculosis treatment was apparently adequate, according to his wife. But no records are available. In addition, the patient had thrombosis of the axially artery treated last year at Hillcrest. He had an embolectomy and has been on Coumadin since. INR is significantly elevated at 16. None the less, because of the cavitary lesions that are seen in the right and left upper lobes, the possibility of tuberculosis has been raised. Ancillary history was been given by the wife, Nupaul, with the patient translating for her from the Indie language.…

    • 1628 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    St. Joe's Case Summary

    • 276 Words
    • 2 Pages

    The patient is 67-year-old gentleman who presents to the ER because of recurrent falls. He has a past medical history of the left quadriceps rupture several months ago, repaired at Morristown Medical Center and he was in rehabilitation at the Atrium at Wayne he was discharged from the Atrium rehabilitation center on the 8th. He presented to several EDs on the 9th and also was discharged from and including St. Joseph's emergency room he is complaining of his right leg was collapsing on walk he represented to St. Joe's ED on the 10th and at that time because of a history it was determined that he required acute inpatient admission. His medical history is significant for diabetes mellitus, hypertension, and dyslipidemia. He seen by the cardiologist…

    • 276 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Case Study 3 Diagnostic 1

    • 434 Words
    • 2 Pages

    Findings: Ct scan of the chest was performed in 7 mm axial sections with no intrrveous contrast enhancement. Comparison is made to previous ct scans made during his admission last year. There is interval resolution of the previously noted cavitary lesions in both upper lobes. However, there is evidence of chronic residual infultrates or scarring in both upper lobes as well as in the mid- and lower-lung fields posteriorly. Heart again appears enlarged. There is evidence of mild bilateral pleural thickening. No interval pulmonary parynchimal or pleural based mass lesions. No mediastynal or hylar masses. No lymphadenopethy, no pleural effusions, and no significant lesions of the boney thorax.…

    • 434 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    BRIEF HISTORY: This 42-year-old gentleman was admitted on January 7th and died on January 15th. He was admitted with progressive cardiac palpitation, hemoptysis, and dyspnea. Please see his admission history and physical exam for details.…

    • 434 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    BRSB

    • 562 Words
    • 3 Pages

    Patient X is a 52-year-old man who lives in Bowen Hills, Brisbane. He is an automotive repair man. However, he has recently lost his job and has stayed idle for one year. Recently, he was playing basketball with his eldest son and suddenly developed a substernal chest pressure. When he thought it was just a typical ‘heartburn’, he continued playing. After another 20 minutes, he had an intolerable sharp, nagging chest pain. His left arm became numb. His son verbalised that he looked pale and was sweating a lot. His son called the paramedics which accordingly arrived after 30 minutes and he was brought to Royal Brisbane and Women’s Hospital.…

    • 562 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    Proofreader #1

    • 404 Words
    • 2 Pages

    PHYSICAL EXAMINATION: GENERAL: The patient is a well-developed, well-nourished male who appears to be in moderate distress, with pain and swelling in the upper left arm. Vital sign: Blood pressure 140/90, temperature 98.3, pulse 97, and respiration 18.…

    • 404 Words
    • 2 Pages
    Powerful Essays
  • Good Essays

    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.…

    • 1272 Words
    • 6 Pages
    Good Essays
  • Good Essays

    Hsc Units

    • 731 Words
    • 3 Pages

    Mrs Webster has been referred to me due to the pain in her chests and her recent diagnoses of high blood pressure that puts her at a higher risk of getting CHD. My role as her cardiologist is to ensure that I carry out further investigation to diagnose and to provide treatment for Mrs Webster.…

    • 731 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Patrick Platt

    • 413 Words
    • 2 Pages

    GENERAL: The patient is a well-developed, well-nourished male who appears to be in moderate distress with pain and swelling in the upper left arm. Vital signs: Blood pressure 140/90, temperature 98.3 degrees Fahrenheit, pulse 97, respiration 18.…

    • 413 Words
    • 2 Pages
    Powerful Essays
  • Good Essays

    A (UTI) Urinary Tract Infection happens when bacteria enters and multiplies in the sterile urinary tract which causes inflammation and can result in small amounts of blood, pus, and bacteria in the urine. This can cause pain with urination, a sense of needing to urinate frequently, and sometimes cramping in the lower abdomen. The infection can involve the urethra, the bladder, sometimes the ureters, and occasionally the kidneys. If kidneys are involved you may have fever and chills.…

    • 283 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    proofreading

    • 372 Words
    • 2 Pages

    PHYSICAL EXAMINATION: The patient is a well-developed, well-nourished male who appears to be in moderate distress with pain and swelling in the upper left arm. VITAL SIGNS: Blood pressure 140/90, temperature 98.3 degrees Fahrenheit, pulse 97, respiration 18.HEENT: Head normal, no lesions. Eyes, arcus senilis, both eyes. Ears, impacted cerumen, left ear. Nose, clear. Mouth, dentures fit well, no lesions. NECK: Normal range of motion in all directs. INTEGUMENTARY: Psoriatic lesion, right thigh, approximately 1 mL in diameter. CHEST: Clear breath sounds bilaterally. No rales or rhonchi noted. HEART: Normal sinus rhythm. There is a holosystolic murmur. No friction rubs noted. ABDOMEN: Normal bowl sounds. Liver, kidneys, and spleen are normal to palpitation. GENITALIA: Tests normally descended bilaterally. RECTAL: Prostate 2+ and benign. EXTREMITIES: Pain and swelling noted above…

    • 372 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    During a clinical rotation we come into contact with many patients, from many different backgrounds, with many different disease processes which effect their systems. Each patient has their own manifestations, of signs and symptoms, along with courses of action which are taken to best meet their individual needs. One of the tools used when caring for a patient is education. CDC.gov states “A well-informed patient is more likely to cooperate if the patient understands” (Centers for Disease Control and Prevention, 2011). Educating a patient allows a patient to be more involved in their care, and there is a greater possibility for compliance once the…

    • 1366 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    HISTORY OF PRESENT ILLNESS: Mr. Barua is a 42 year old from Bangladesh who presents with chest tightness, shortness of breath, and tachycardia. Dr. J.K. McClain of cardiology is evaluating his heart condition. The patient has had the resent onset of hemoptysis. He was treated for TB in Bangladesh 15 years ago. This has prompted the concern of whether his treatment for TB was adequate or whether there is another cause for his hemoptysis. The duration of his TB treatment was apparently adequate, according to his wife. But no records are available. In addition, the patient had thrombosis of the auxiliary artery treated last year at Hill Crest. He had an embolectomy and has been on Coumadin since. INR is significantly elevated at 16. Nonetheless, because of the cavitary lesions that are seen in the right and left upper lobes, the possibility of TB has been raised. Ancillary history was given by the patients wife Nepor, with the patient translating for her from the Hindu language.…

    • 627 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Troponemia Research Paper

    • 340 Words
    • 2 Pages

    41-year-old female with history of undifferentiated connective tissue disease with no family or personal history of cardiac disease presented to her local hospital, complaining of chest pain began 4 days prior while lying in bed after she woke up in the morning. The pain radiated to her neck. She went to the hospital after telling her cardiologist about her symptoms on the morning of admission. She also reported bilateral hand discoloration, turning purple from fingertips to palms without pain.…

    • 340 Words
    • 2 Pages
    Good Essays

Related Topics