January 25th‚ 2018‚ Competency 2B.3: When my dyad partner and I were going through the charts of our first patient for the day‚ we saw that he was diagnosed COPD‚ and he was receiving tiotropium‚ a bronchodilator‚ and Advair‚ which is an anti-inflammatory inhaler. From this information‚ we had a good idea of what to expect from the respiratory assessment‚ and how we could make it easier for him if he had any issues throughout. We discussed things that could make it easier for him if necessary‚ such
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Strokes and even mini-strokes are medical emergencies which may occur at least once in one’s lifetime. Learn what strokes are‚ their causes and effects so that you have sufficient knowledge to give you an opportunity to prevent major strokes which could cause devastating and permanent brain damage‚ coma and even death. A stroke strikes suddenly causing one in six people worldwide to have at least one stroke in their lifetime. The stroke happens fast especially when there is a blockage of blood flow
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mouth or the inhalant siphon. Atrial or exhalent aperture is present little behind the aperture. Water current flows into the organism by the mouth and passes out through the atrial aperture. Disturbing of the animal makes it to squirts out jets of water through the atrial aperture and this gave the organism the name sea squirt. Anterior end of the animal is made by the oral aperture and posterior end is attached to the substrates and in the dorsal position the atrial aperture is placed. The body
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use of L internal mammary artery to L anterior descending‚ reverse saphenous vein graft to the obtuse marginal‚ reserve saphenous vein graft to R posterior descending artery and R posterior arterial branch; epiciortic sonography; ligation of L atrial appendage. Today patient is stable‚ awake‚ oriented‚ and in high spirits; medicated for pain‚ mediastinal tubes removed 2/12/13. Vital Signs Time 9am BP 110/95 P 98 R 18 Temp 100.1 F; oral Cardiovascular System: 1. Skin: -color:
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Heartbeats are initiated with electrical impulses which start out in Sino Atrial Node. The Sino Atrial Node sends its electrical impulse to the atrium when it detects that it is full as when the atrium is full it contracts and squeezes the blood in to the ventricles. In order for the ventricles to squeeze the blood out of the ventricles and in to the arteries so it can be pumped around the body‚ the electrical message from the Atrial Ventricular Node needs to be at the bottom of the heart‚ otherwise known
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Chapter 3 Exercise 12 PROCEDURE NOTE Hagler‚ Jason 7935409 Jennifer Hutto‚ MD December 26‚ 2012 DUAL CHAMBER CARDIAC PACEMAKER INDICATION Protracted‚ high degree‚ atrial ventricular block‚ postinferior MI‚ and aortocoronary bypass grafting. DESCRIPTION The patient was brought to the heart cath lab. Left infraclavicular area was prepared and draped in the usual sterile fashion. Local anesthesia was achieved with 1% plain Xylocaine. Femoral vein was punctured with an 18-guage needle
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Outline your priorities of care for Martin on his arrival in the emergency department at your major metropolitan hospital. Kirkness explains that priority should be given to airway management and oxygenation. Generally‚ all patients should be placed on oxygen. The head of the bed should be slightly elevated‚ and a cardiac monitor and intravenous access established. Unless there is hypotension‚ fluids should be administered judiciously to prevent cerebral edema. 2 Primary assessments are focused
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When muscles of the body are exposed to electric shock‚ the muscles contract‚ the heart muscle goes into fibrillation electric shock can result in death AC is much more dangerous than DC An electrical shock is experienced when a person become part of an electric circuit. As a result‚ current enters at one point and leaves by another. The severity of the shock is determined by three main factors: The amount of current flowing through the body; The path of the current through the body. The great
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INTRODUCTION This case study will discuss the nursing care and needs of Mrs Audrey Smith‚ a 75-year-old female who was admitted to hospital due to fall at home because she had tripped over her dog. She was brought immediately to the Emergency Department by her neighbour. After a thorough assessment‚ Audrey sustained injury and bruises on her left shoulder and forehead following a diagnosed of fractured left neck of femur. Therefore‚ a surgical treatment of Left Hip Arthroplasty has been advised
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coronary sinus and smaller coronary veins). At the same time‚ the pulmonary veins return oxygenated blood from the lungs to the left atrium. During the early diastolic phase of the cardiac cycle‚ both ventricles relax and fill from their respective atrial sources. The atrio-ventricular valves (the tricuspid valve is located between the right atrium and right ventricle; the mitral valve is between the left atrium and left ventricle) open and allow blood to flow from the atria into the ventricles. The
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