Sallie Mae Fisher is a recently widowed‚ depressed‚ 82-year-old-female with congestive heart failure (CHF)‚ atrial fibrillation‚ and hypertension. She has been hospitalized four times for CHF exacerbation. With limited family support‚ and a long list of medications‚ she is having difficulty managing her CHF. During a home health visit‚ the nurse and nursing student assess Sallie Mae and identify several concerns. Subjective Information Subjectively‚ Sallie states‚ “My mind just feels so cloudy”
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function associated with an identifiable toxic or ischemic trauma or obstruction - onset - hours to days. * Risk Factors: * Advanced Age: GFR decline by 1ml/min/year after age 40 * Renal Blood Flow 10% per decade * Decreased muscle mass – decreased production Cr; Vit D * Diabetes Type I or II * Severe HTN or peripheral vascular disease * Preexisting CKD or proteinuria * CHF * Cirrhosis * NSAIDS‚ ACEi‚ vasodilators * Sepsis Pathophysiology: *
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right Before a heart Attack Your Body Will Give You These 4 Signs w3.newsmax.com Heart Failure Definition Heart failure is a condition in which the heart has lost the ability to pump enough blood to the body’s tissues. With too little blood being delivered‚ the organs and other tissues do not receive enough oxygen and nutrients to function properly. Description According to the American Heart Association‚ about 4.9 million Americans are living with congestive heart failure. Of these‚ 2.5 million
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Silence the alarms on the cardiac monitors to allow 30- to 40-minute naps. d. Eliminate assessments between 0100 and 0600 to allow uninterrupted sleep. ANS: B Clustering nursing activities and providing uninterrupted rest periods will minimize sleepcycle disruption. Sedative and opioid medications tend to decrease the amount of rapid eye movement (REM) sleep and can contribute to sleep disturbance and disturbed sensory perception. Silencing the alarms on the cardiac monitors would be unsafe in
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Title: Case study Jose R Tapanes International Institute for health Care Professionals Case 1 Answers 1- malignant hyperthermia is a medical condition with a genetic pattern‚ due to a subclnical myopathy causing severe reaction to a dose of anesthetics. It is associated with mutations in two genes: RYR1‚ which encodes the skeletal muscle isoform of the calcium-release channel of the sarcoplasmic reticulum (ryanodine receptor type 1 [RYR-1])‚ and CACNA1S‚ which encodes the alpha subunit of
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increased movement of vascular fluid into interstitial spaces elevated blood pressure (hypertension) relaxation of pre-capillary sphincters (more blood in capillaries) increased vascular volume 2) Decreased capillary colloidal osmotic pressure- less fluid is reabsorbed by capillaries Decreased liver function‚ inadequate production of plasma proteins Abnormal loss of protein by the kidneys Starvation‚ malnutrition‚ burn injuries 3) increased capillary permeability- proteins escape capillaries
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flow‚ ↑ O2 extraction by working muscles * Addition of weight training benefit in ↓ work of heart by ↑ efficiency of other muscles in the body * Fully conditioned people are able to increase O2 consumption by 10-20% because of increased cardiac output & increased efficiency of myocardium Cigarette Smoking - associated with heart disease‚ COPD and lung cancer. * Inhaled nicotine enable plaque to build up more quickly in blood vessels‚ increased risks for blood clots‚ & causes
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you increase the stroke volume? Your answer : a. The pump rate will decrease to maintain cardiac output. Stop & Think Questions: Why did changing the ending pump volume (ESV) automatically change the stroke volume? You correctly answered: d. The heart intrinsically alters stroke volume to accommodate changes in preload. The flow has stayed constant with each trial because You correctly answered: a. cardiac output is equivalent to blood flow. How does the heart provide for an increase in stroke volume
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Task 2 Preseason cooper run Post Training Cooper Run Weight 94kg 93kg Resting Heart Rate 63bpm 63bpm Breathing Rate rest 12 13 Breathing Rate after 32 34 Distance 1856m 1903m HR Max 180 183 HR min 63bpm 63bpm PRE @ end Sit and Reach 19cm 19cm Peak Flow 413 416 Submission date:28/4/14 In terms of the muscular system the long term effects of exercise are – Hypertrophy – the muscle increases in size and bulk. Hypertrophy is a result of an increase in the
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Running‚ basketball‚ soccer‚ tennis‚ football: five very different sports‚ seemingly unrelated in any way. All focus on different skills and abilities and strengthen different parts of the body. Despite their differences‚ they are unified under several athletic components‚ most notably cardiorespiratory endurance. Whether we are laying in bed asleep‚ sitting listening to a teacher‚ or walking down the hallway‚ the cardiovascular and respiratory systems work together to regulate oxygen and waste
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