vulnerable to further insults - iatrogenic renal injury most common * Common iatrogenic combinations: * Preexisting renal disease‚ radio contrast agents‚ aminoglycosides‚ atheroembolism‚ or cardiovascular surgery * ACE inhibitors with diuretics * NSAIDs * Hypovolemia * Recovery dependent upon restoration of RBF Once RBF restored - remaining functional nephrons
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INTRODUCTION Definition; It is a complex clinical syndrome that can result from any cardiac disorder that impairs the ability of the ventricle to deliver adequate quantities of blood to the metabolizing tissues during normal activity or at rest. Causes 1. Although the disease occurs most commonly among the elderly (80% of patients hospitalized with CHF are > 65 years of age)‚ it may appear at any age as a consequence of underlying cardiovascular disease. 2. There currently is no single
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1 Cardiovascular Disorders Case Study 1 Heart Failure Diffi culty: Beginning Setting: Emergency department‚ hospital Index Words: heart failure (HF)‚ cardiomyopathy‚ volume overload‚ quality of life Scenario M.G.‚ a “frequent fl ier‚” is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating‚ “I just had to come to the hospital today because I can’t catch my breath and my legs are as big
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Fluid and Electrolytes Know the causes‚ nursing assessment findings and treatments for: Fluid Volume Excess (Overload): heart failure‚ renal failure‚ abnormal fluid shift‚ treat with diuretics and fluid restriction or sodium restrictions‚ record i&o’s‚ bounding pulse‚ JDV‚ crackles in lungs (from PE)‚ SOB‚ PITTING EDEMA Fluid Volume Deficit (Hypo-Volemia): shift from plasma into ICF with sodium loss‚ treat with isotonic fluids‚ blood products for blood loss‚ low BP‚ increase HR‚ weak thready pulse
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Medical Problem: High Blood Pressure (Hypertension) Patient: Megan Crozier 1. Define the health issue (the impact on the body) Hypertension is sustained elevation of resting systolic BP (≥ 140 mm Hg)‚ diastolic BP (≥ 90 mm Hg)‚ or both. High blood pressure is a common condition in which the force of the blood against your artery walls is high enough that it may eventually cause health problems‚ such as heart disease. Blood pressure is determined by the amount of blood your heart pumps and the
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Interventions will incorporate close monitoring of vital signs during activity‚ as increased heart rate can decrease myocardial perfusion and lead to recurrence of arrhythmias. Administration of antihypertensive and diuretic medications will also be completed‚ as these medications promote myocardial perfusion and decrease preload (Gulanick & Myers‚
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Project in Mapeh Shekinnah Kate Cusilit IV- Lakandula Medicinal Plants Abang-abang Distribution - Common in thickets and secondary forests at low and medium altitudes throughout the Philippines. - Also reported in Taiwan‚ the Caroline Islands‚ and Yap. Properties Considered vulnerary‚ antidiarrheal‚ antihypertensive. Parts used Roots‚ branches‚ leaves. Uses Folkloric - Decoction of roots‚ branches and leaves used for wound healing. - In Thailand‚ root used for diarrhea
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Side Effects of Oral Antidiabetic Agents Sulfonylureas are associated with weight gain and hypoglycemia.(35) Sulphonylureas should be avoided where possible in severe hepatic impairment and in acute porphyria . They should not be used during pregnancy or breast-feeding .Sulphonylureas are contra-indicated in the presence of ketoacidosis.(36) Biguanides is associated with a low frequency of lactic acidosis. Biguanides major side effects are seen in the gastrointestinal tract‚ with nausea‚ cramps‚
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Chronic Heart Failure Exacerbation Preparation Questions 1. List the risk factors for chronic left-sided heart failure related to coronary artery disease. Coronary Artery disease‚ Hypertension‚ Substance abuse‚ Dysrhythmias‚ Diabetes mellitus‚ Smoking/tobacco use‚ Obesity 2. Explain the cause of the compensations for chronic heart failure. Insufficient cardiac output causes compensatory mechanisms work to improve cardiac output. They include‚ sympathetic nervous system stimulation‚ Renin=angiotensin
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At 0600 Jennie is brought to the Labor and Delivery triage area by her sister. The client complains of a pounding headache for the last 12 hours unrelieved by acetaminophen (Tylenol)‚ swollen hands and face for 2 days‚ and epigastric pain described as bad heartburn. Her sister tells the nurse‚ "I felt like that when I had toxemia during my pregnancy." Admission assessment by the nurse reveals: today’s weight 182 pounds‚ T 99.1° F‚ P 76‚ R 22‚ BP 138/88‚ 4+ pitting edema‚ and 3+ protein in the urine
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