Heart failure is caused by the decrease cardiac output and decrease perfusion to the vital tissues of the body. Cardiac output is depended on the stroke volume and heart rate. There are three factors that influence stroke volume‚ which are contractility‚ preload and afterload. Contractility is reduced due to Ms. Boehmer’s history of acute myocardial infarction. Acute myocardial infarction causes myocyte function disruptions. Ms. Boehmer’s history of hypertension‚ smoking‚ and coronary artery disease
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Assessment: Heart Failure: Mr. Jones with past medical history of MI‚ and be came to clinic today complaining of DOE that began 6 months ago. Currently he developed edema on his low extremities‚ and he gained 13 lbs recently. His LVEF is less than 20%. His SOB is worsening in last 4 days‚ which he has a difficulty to breathe after 30 feet of walking. According to the ACC/AHA guidelines‚ his hemodynamic subset is class II‚ which he has a warm and wet due to his sign and symptoms of edema‚ ascites
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Congested Heart Failure Education Sommer L. Kitchin NSG 4028 Concepts of Teaching & Learning May 16‚ 2015 Targeted Audience • Patients who have been diagnosed with heart failure also referred to as congested heart failure (CHF) including those newly diagnosed. • Family members to those with CHF‚ with a more stronger focus on those new to the diagnosis. • For those who do not have family members participating in the management of their care‚ but does have a strong support person and/or caregiver
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Personal Impact: Living with Chronic End-Stage Renal Disease NUR427 October 3‚ 2011 Personal Impact: Living with Chronic End-Stage Renal Disease The Chronic disease I chose is chronic end-stage renal disease. End-stage renal disease is when there is a permanent loss of total renal function. End-stage renal disease‚ is also known as chronic kidney disease (CKD)‚ with five stages. The fifth stage is the most severe stage‚ this is when the patient needs to begin dialysis‚ or be transplanted
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Beta Blockers In Case of Heart Failure Noor M. Al-Tarouti Beta Blockers in Case of Heart Failure Introduction : Beta-blockers‚ also known as beta antagonists‚ beta-adrenergic blocking agents‚ or beta-adrenergic antagonists‚ are drugs that are prescribed to treat several different types of conditions‚ including hypertension (high blood pressure)‚ angina‚ some abnormal heart rhythms‚ heart attack (myocardial infarction)‚ anxiety‚ migraine‚ glaucoma‚ and overactive thyroid symptoms. Beta-blockers
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Given the current symptoms it seems that A.O is suffering from left heart failure. Dyspnea the medical term for difficulty breathing is often an indicator of left heart failure. The clinical manifestations including dyspnea are caused by pulmonary vascular congestion and poor systemic oxygen perfusion (Huether & McCance‚ 2012). Other clinical manifestations physicians find with individuals with left heart failure include‚ coughing up mucus‚ fatigue‚ and a decreased urine output. Physicians will
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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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Introducing the national living wage will have many economic implications on the employers. Moving from the minimum wage of £7.20 hourly to £8.45 for workers outside London and £9.75 for workers within London will definitely requires some actions from the firms. This essay will illustrate the impact of the national living wage that will have towards the employers. Most of them will have higher costs especially small firms where their business will be in high risk of bankruptcy. Higher costs mean
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The Patient with Heart Failuure 74-year-old woman is admitted to the hospital with heart failure. She had been growing progressively weaker and had ankle edema‚ dyspnea on exertion‚ and three-pillow orthopnea. On admission‚ she is severely dyspneic and can answer questions only with one-word phrases. She is diaphoretic‚ with a heart rate of 132 beats/min‚ and blood pressure 98/70 mm Hg. She is extremely anxious. 1. Because this patient cannot breathe or talk easily‚ prioritize the immediate nursing
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If unemployment rises in a country‚ will its standard of living necessarily decline? Unemployment refers to the condition and extent of joblessness within an economy‚ and is measured in terms of the unemployment rate‚ which is the number of unemployed workers divided by the total civilian labor force. If unemployment rises in a country it will affect the country’s standard of living in a negative way‚ take Jamaican economy for example‚ approximately 65% of the labour is unemployed‚ so if 65%
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