Focus Questions #1 1. Relate each client’s current manifestations to the pathophysiology of shock to determine what type of shock the client could be experiencing. Shock is a syndrome characterized by decreased tissue perfusion and impaired cellular metabolism. The patient Richard Tanner has been admitted to the CCU for r/o myocardial infarction. The patient has not prior history of cardiac problems though he has been treated for the last 5 years for cholesterol totaling 285 (HDL 35‚ LDL 212)
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arms will tell us that it might be acute pericarditis. In this case physical examination will show decrease in apex pulse‚ by percussion the heart would be slightly enlarged and a slight friction rub by auscultation on lower left sternal border. And then we will do diagnostic tests including ECG‚ echocardiography‚ chest X-ray‚ and also some lab tests. ECG might show ST elevation‚ and also there might be PR depression. To differentiate from myocardial infarction there won’t be any pathologic q wave
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second- or third-degree atrioventricular block. Sinus bradycardia may be caused by excessive vagal tone‚ decreased sympathetic tone‚ or anatomical changes. It is common in athletes and is relatively benign. It may even be beneficial in acute myocardial infarction (especially inferior). Pathological bradycardia may be symptomatic of a brain tumor‚ digitalis toxicity‚ heart block‚ or vagotonus. Cardiac output
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References: Handford‚ A.‚ Nowak‚ T. (2004). Congestive heart failure. Pathophysiology: Concepts and Applications for Health Care Professionals. (pp. 269-277). Boston‚ MA: The McGraw Hill Companies Inc. Jarvis‚ C. (2011). Clinical portrait of heart failure. Physical Examination & Health Assessment. (pp. 486). St. Louis‚ MO:
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Retrieved March 24‚ 2013 from http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf Centers for Disease Prevention and Prevention. (2011b). Chronic disease prevention and health promotion Kirk‚ J. K. (2010). Hyperglycemia Management Using Insulin in the Acute Care Setting: Therapies and Strategies for Care in the Non-Critically Ill Patient Webster‚ N.R. & Galley‚ H.F. (2009). Does strict Glucose control improve outcome. Wong‚ C. (2011). Natural treatments for type 2 diabetes. Retrieved March 24‚ 2013
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arteries‚ causing a decreased blood supply to the myocardial layer of the heart‚ and prevents the arteries from dilating. As a result the tissue is deprived of oxygen necessary to thrive‚ which in turn can lead to myocardial ischemia‚ leading to several types of infarctions. Depending on the area of the ischemia‚ there can be several complications. For example‚ a ST segment elevation myocardial infarction (STEMI) occurs when there is a myocardial insufficiency caused by an occlusion that has completely
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mortality ‚re-infarction ‚repeat revascularization ‚bleeding and kidney dysfunction
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cardiovascular disease. Studies on the pathophysiology of this disease has evolved over the past three decades‚ and a fusion of these views has led to the concept of the atheroma as a graveyard of acellular lipid debris enrobed by a capsule of proliferated smooth muscle cells. Atherosclerosis‚ formerly considered as a bland lipid storage disease‚ actually involves an ongoing inflammatory response that results in a host of complications including ischaemia‚ acute coronary syndromes and stroke. Recent
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OHS Research question: "Are night shift workers more prone to impaired health than workers who work office hours?" Aim: To gather more information on health effects of shift work (night shift) and establish whether there is a clear relation between poor health and night shift‚ through review of statistics‚ survey and a study design. Study population: 500 from each of the following worker groups - (i) 12-hours permanent night shift workers‚ (ii) 8-hours permanent night shift workers and (iii) normal
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THE ROLE OF EXERCISE IN THE MANAGEMENT OF CARDIOVASCULAR DISEASE Cardiovascular disease (CVD) is the term used to describe the diseases affecting the heart‚ arteries and blood vessels. Coronary heart disease (CHD) is a leading public health problem in the UK with costs exceeding £30 billion per year. Mortality rates from the disease continue to fall‚ mainly due to a combination of public awareness of the risk factors and understanding of the need to lead a healthier life. However
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