fatigue‚ worsening confusion and a 1 day history of a fever. Patient weighs approximately 90 pounds upon admission with a height of 64 inches. Patient has known COPD and is a former heavy smoker that also has a history of pneumonia‚ hypertension‚ atrial fibrillation‚ and dementia. Upon presentation to the emergency department patient has had increased nasal drainage and cough. Patient came into the hospital about a year and a half ago with a diagnosis of right lower lobe pneumonia. Patient was arousable
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conditions are definitely effected by age as well as lifestyle. With age the heart and blood vessels undergo many changes. In the heart with age the SA node loses some of its cells‚ this may result in a lower heart rate. Abnormal rhythms such as atrial fibrillation‚ these arrhythmia are often due to heart failure. Hypertension in the elderly is also common. With an increase in age the systolic blood pressure can increase up to 20 mmHg on its own. “The baroreceptors become less sensitive with aging. This
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Only two studies were retrospective studies out of twenty studies. All other studies reviewed for paper were prospective studies. There were nineteen studies conducted in older age population. Only one study was done to analyze youth stroke (Zhang et.al‚ 2014). All nineteen studies had enrolled both men and women for their research while only one study was piloted for men only. Ten studies were conducted in United States‚ two each in Japan‚ United Kingdom and Spain while one each in Sweden‚ Germany
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Chapter 50 A nurse has to administer 0.06 ml/kg of hep B immune globulin IM to a pt. the total body weight of the pt is 50 kg. How many ml of the drug should be administered to the pt. 3 ml A nurse is required to administer a varicella vaccine to a female pt planning to start a family. How long after the vaccination should the nurse instructs the pt to wait before getting pregnant? 12 weeks A child is brought by his parents to the HCF for MMR vaccination. On taking the medical hx‚ the nurse
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beta-blockers. Anticoagulant or antiplatelet therapy; these drugs reduce the risk of blood clots and stroke‚ these include warfarin or aspirin. Another blood thinner called Pradaxa (dabigatran) was approved in 2010 to prevent stroke in people with atrial fibrillation. Because everyone is different‚ it may take trials of several medications and doses to find the one that works best for
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Health Prevention September 15‚ 2013 Health Prevention Health promotion according to World Health Organization‚ “Is the process of enabling people to increase control over‚ and to improve their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions.” In this assignment I have chosen three articles talking about the different health promotions. I will start with my article on teen suicide and primary prevention‚ then stroke
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the risk factors and warning signs did Mr. Dexter possess based on the clinical history? Risk factors for ischemic stroke include hypertension‚ age‚ cigarette smoking‚ male gender‚ family history‚ race‚ previous stroke‚ carotid stenosis >80%‚ atrial fibrillation‚ congestive heart failure‚ mitral stenosis‚ prosthetic cardiac valves‚ myocardial infarction‚ and drug abuse (e.g.‚ cocaine). 7 Other factors that may contribute to stroke are diabetes‚ obesity‚ a
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Case study The case study relates to Mr Brown‚ who was diagnosed with acute pulmonary oedema secondary to acute renal failure‚ due to excessive use of opioids. The assignment will address Mr Brown’s initial presentation and assessment‚ relevant past history‚ medications and the current assessment finding that had him admitted to the intensive care unit. The patient’s pathology results and drug treatment to correct his electrolyte imbalances will be discussed briefly. The assignment will discuss the
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It is initiated by the P wave of the electrocardiogram. Atrial depolarization starts contraction of the cardiac muscle. When the atria contract‚ pressure within the atrial chambers increase‚ this forces more blood flow across the open atrioventricular valves‚ leading to a rapid flow of blood into the ventricles. Directional flow to vena cava is restricted to one
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recent studies that had as an objective to prove the efficacy of rivaroxaban in recent ACS (3). Rivaroxaban is an anti-Xa antithrombotic factor that was firstly studied for the prevention of stroke and embolism in patients with non-valvular atrial fibrillation with positive results (4‚ 5‚ 6). Factor Xa initiates the final pathway of the coagulation cascade and results in the formation of thrombin (3‚ 4). In the aforementioned
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