Ms. Boehmer has systolic heart failure. She has reported symptoms of dyspnea with exertions‚ orthopnea (evidenced by “sleeps on two pillows” at night)‚ fatigue (evidenced by “she often feels tired”) and edema (evidenced by “reports that ankles are often swollen in the evening”) alterations in urination (evidenced by “nocturia X 2 and reports she sometimes has a strong urge to void and does not always make it to the toilet in time”). Physical examinations demonstrate S3 gallop. Cardiomegaly is present
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1. A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours before the procedure and for 48 hours after the procedure? 1. Regular insulin 2. Glipizide (Glucotrol) 3. Repaglinide (Prandin) 4. Metformin (Glucophage) 4. Metformin (Glucophage) 2. The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16
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The left aortic cusp was eroded. Vegetation on other cusps was small. There was part of the vegetation occluded the left ostia extended to the left main stem coronary artery which measured 1cm in length (figure 1B). There was no gross evidence of infarction on the myocardium. The left kidney showed scarred surface and poorly demarcated corticomedullary junction. However‚ the right kidney and urinary
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this essay I will discuss theoretical principals of rehabilitation of a particular patient I cared for while on clinical placement. It will focus on the role of the multidisciplinary team involved in this rehabilitation process post acute myocardial infarction and the education and support given to the patient and her family during the discharge planning process. Also I will be including statistics and evidence of pathophysiology. The National Service Framework for Older People (Department of Health
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through the coronary arteries is partially or completely blocked‚ ischemia and infarction of the myocardium may result. Ischemia occurs when insufficient oxygen is supplied to meet the requirements of the myocardium”(Workman et al 2010). Complications The three major clinical manifestations of CAD include chronic stable angina‚ acute coronary syndrome‚ and sudden cardiac death. These conditions result from myocardial ischemia
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Pneumonoultramicroscopicsilicovolcanoconiosis Many of the longest words in the English language are medical terms. Medicine and Medical Terminology has a language of its own‚ and its vocabulary includes terms built from Greek and Latin word parts‚ eponyms‚ acronyms and modern language. This why it is sometimes hard understand what the doctor is saying. There are a lot of long complicated words especially in medical terminology. To be able to understand the meaning of a medical term it is best
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plaque narrowing severe or complete occlusion marked imbalance between O2 supply + demand * Partially occlusive thrombus is usual cause of: * Unstable angina * Non ST elevation MI (NSTEMI) * Both very similar – latter has myocardial necrosis (whereas unstable angina only ischemia) * Complete obstruction more severe ischemia + larger amount of necrosis ST elevation MI (STEMI) Acute coronary syndromes. Following disruption of a vulnerable plaque‚ patients experience
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Heart Disease • What is Heart Disease? Heart disease is any disorder which affects the heart. Almost half of heart diseases are from coronary heart disease. Coronary heart disease is responsible for 82‚000 deaths in the UK each year – an average of 224 people a day. o Coronary Heart Disease Coronary heart disease affects the coronary arteries‚ which supply the heart muscle itself with the glucose and oxygen that it requires for respiration. • Atheroma Atheroma is a fatty deposit that forms
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documented heart disease but may have risk factors including a poor diet. I will present a power point with discussion to a middle-aged African American male who presented to the emergency room with chest pain and was admitted to rule out a myocardial infarction. The patient’s wife and two children are present at the bedside. I will provide the patient and his family with education regarding a heart healthy diet prior to discharge mid-afternoon. Physical resources present in the patient’s room are
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Chapter 14: Critical Care Nursing (Pg 338-366‚ 412-437) Chapter 15: Cardiovascular Disorders Coronary Artery Disease Description and Etiology The biggest contributor to cardiovascular system- related morbidity and mortality is coronary artery disease. Atherosclerosis is a progressive disease that affects arteries throughout the body. (CAD) Risk Factors for CAD 1. Age‚ Gender‚ Race (non-modifiable) a. More common in men than women b. Higher in women over 75 years of age 2. Family History
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