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‚ 2001) sets out eight standards including standard three about intermediate care
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age and is a male patient who is admitted to the emergency department via ambulance with acute onset of midsternal chest pain radiating down the left arm and radiating up the left side of the neck. The patient complains of shortness of breath and is cool‚ pale‚ and diaphoretic. The vital signs include: BP 160/90‚ HR 110‚ R 26‚ and T 99°F. The 12 lead ECG reveals an anterior wall ST-elevation myocardial infarction (STEMI). 1. What first actions should the nurse take after the patient has arrived
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immobilizing pain. Medical Diagnosis: Coronary Artery Disease Pathophysiology of: Angina Pectoris Angina Pectoris develops when coronary blood flow becomes inadequate to meet myocardial oxygen demand. This causes myocardial cells to switch from aerobic to anaerobic metabolism‚ with a progressive impairment of metabolic‚ mechanical‚ and electrical functions. Angina pectoris is the most common clinical manifestation of myocardial ischemia. It is caused by chemical and mechanical stimulation of
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means pathogens have entered the area and disrupted the normal tissue (Cotran‚ Kumar‚ & Collins‚ 1999). Infective endocarditis may lead to severe valvular insufficiency‚ which inturn could possible lead to intractable congestive heart failure and myocardial abscesses. It forms areas of large bulky firable vegetations‚ which are composed of thrombotic debris and organisms (Huckwell‚ 2016).This may also lead to the destruction of the underlying
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Your patient’s ECG shows depression S-T in leads V1–V2 and ST elevation in Leads II‚ III‚ and AVF. You realize that this indicates: Acute inferior infarction. Acute Anterior infarction Acute Lateral infarction Acute inferior-Posterior infarction The above ECG changes can be found if there is an occlusion of the: RCA LAD circumflex all of the above. the most complications associated with this problem is ventricular dysrhythmias. AV block. atrial flutter. hemodynamic
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with myocardial infarction in 52 countries (the INTERHEART study): case-control study Summary Background Although more than 80% of the global burden of cardiovascular disease occurs in low-income and middle-income countries‚ knowledge of the importance of risk factors is largely derived from developed countries. Therefore‚ the effect of such factors on risk of coronary heart disease in most regions of the world is unknown. Methods We established a standardised case-control study of acute myocardial
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The obstructing material is most often a blood clot‚ but it may be a fat globule‚ air bubble‚ piece of tissue‚ or clump of bacteria. When this occurs‚ circulation and oxygenation of blood is compromised. 12.) Acute myocarditis or pericarditis (absolute contraindication) is an inflammatory disease of the heart muscle (myocardium) that can result from a variety of causes. While most cases are produced by a viral infection‚ an inflammation of the heart muscle may
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Clinical Dental Hygiene II - DDH250 Ms. Oddo / Ms Foreign February 5‚ 2014 Abstract Today one of the most fatal heart conditions that has developed would be atherosclerosis. atherosclerosis is usually the cause of myocardial infarctions‚ angina pectoris‚ and peripheral vascular disease. The statement in WebMD‚ What is Athersclerosis‚ by Dr. James Beckerman states that cardiovascular disease is the number one killer in America with more than 800‚000 deaths in 2005. Atherosclerosis
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Acute myocardial infarction is the medical term for a heart attack. A heart attack is a life threatening condition causing an abrupt stoppage of blood flow to the heart. Diagnosis of a heart attack has to be made quickly to prevent further damage or death. Patients usually get medical attention when they experience chest pain. Many patients assume the chest pain is from indigestion or acid peptic symptoms. These patients waste time with antacids. Chest pain may be accompanied with vomiting‚ sweating
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Describe patient symptoms and conditions that could cause alterations in: Cardiac Output Volume of blood flowing through systemic or pulmonary circuit expressed in liters per min Normal= 5 L/min (resting adult) HRXSV= CO Factors: preload‚ afterload‚ myocardial contractility‚ heart rate As heart rate increases‚ this allows less time for diastole and the heart often cannot fill adequately. Therefore‚ a very rapid heart will often have a reduced cardiac output‚ especially in an elderly individual Stroke
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