The Role of Beta-Blockers in the Treatment of Chronic Heart Failure In 1988 Sir James Whyte Black was honored with a Nobel Prize for medicine for his efforts in the discovery of the beta blocker propanolol and the histamine receptor agonist cimetidine. Beta blockers were originally developed to treat angina pectoris but were discovered to also treat hypertension‚ tachycardia‚ an myocardial infarctions. The discovery of propanolol was said to be the greatest discovery since digitalis. The mechanism
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Nursing Diagnosis #1 Analysis. This is an 89 year old male who recently admitted to the hospital after complaints of persistent diarrhea with history of recurrent Clostridium difficile. He stated that he has had a bout of diarrhea that has been unresolved after completing a round of vancomycin and has recently lost an excess of 5 pounds. Dehydration was initially treated with intravenous fluids. However‚ it was discovered that he was in acute kidney failure and was diagnosed with acute kidney
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Heart disease‚ stroke‚ cancer‚ diabetes‚ and arthritis are the most common‚ costly‚ and preventable chronic diseases in the United States. Seventy percent of the total deaths in the U.S. are attributed to chronic diseases and fifty percent of that deaths are due to heart disease and stroke. Total expenditure for treatment of chronic diseases is $277 billion (Chronic Diseases and Health Promotion‚ 2012). Disease management is the key factor in managing these chronic conditions and improving the quality
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Master’s Prepared Nursing Roles RSMT Task 1 Form 1. According to (“Roles & Responsibilities”‚ 2008) Master’s prepared nurse’s role as a researcher includes collaborating and coordinating with others to identify significant researchable problems. In doing so the nurse must be involved in scientific investigation and must be a consumer of research findings. As a nurse researcher you must be conscious of the research process‚ how it would improve health care by utilizing evidence based practice
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Vol. 92/No.1 Risk Factors: People with a weak immune system‚ recent exposure with TB bacteria‚ immigration from area with high TB rates‚ IV drug users and people working in facilities at high risk for TB including hospitals‚ shelters‚ jails and nursing homes (Basic TB Facts‚ 2010). Questions to ask Patient: Are you having any difficulty with breathing now? Are you having any shortness of breath? How long have you had a cough? Describe your cough. Are you bringing up any phlegm? If yes
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elimination related to urinary tract infection Goals: After 30 minutes of nursing intervention‚ the patient will be able to gain knowledge on ways of managing Urinary Tract Infection. Objectives: Within 15 minutes of nursing intervention‚ the patient will be able to gain knowledge by : Enumerating 2/3 specific causative factors of UTI. Demonstrate behaviors and techniques to prevent urinary tract infection and manage care of urinary catheter. Shows positive attitude by verbalizing understanding
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Nursing Care Plan Nursing Diagnosis | Patient Outcomes/Goals | Nursing Interventions | Rationale | Evaluation | 1. Risk for systemic infection r/t cellulitis AEB breakdown of tissue on the lower extremities 2. Chronic pain related to multiply system diseases‚ gout‚ cellulitis‚ as demonstrated by patient complaints of pain | 1. Pt will demonstrate progressive healing of tissue by discharge(Long-term) 2. Manage acute & chronic pain to pt. identifiable tolerable level of 4 on scale of
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normal. My grandfather had recently been admitted to the Lancaster General Hospital suddenly‚ with the diagnoses of Congestive Heart Failure. He only had a few weeks to live‚ if he didn’t consent to have open heart surgery. A new heart valve was a lifeline for my Pop-pop (that’s what we call him). The blood flow weakened inside of my Pop-pop’s veins‚ and our only hope was an artificial heart valve‚ harvested from a cow. Questions and concerns would drag
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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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percentage left for the employee is increasing as many companies are paying less and less of the cost. In 2007‚ employer health insurance premiums increased by 6.1 percent - two times the rate of inflation. The annual premium for an employer health plan covering a family of four averaged nearly $12‚100. The annual premium for single coverage averaged over $4‚400[1]. The cost of family health insurance nationwide is increasing dramatically for employees without anywhere near an equivalent increase
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