"Picot question for noncompliant cardiac patient" Essays and Research Papers

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    Commentary Prediction and prevention of sudden cardiac arrest Heikki V. Huikuri MD See related research article by Reinier and colleagues on page 1705 and at www.cmaj.ca/lookup/doi/10.1503/cmaj.101512 Competing interests: None declared. This article was solicited and has not been peer reviewed. Correspondence to: Dr. Heikki V. Huikuri‚ heikki.huikuri@oulu.fi CMAJ 2011. DOI:10.1503 /cmaj.111245 CMAJ ajor advances have been made in understanding the causes of and treatments for cardiovascular

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    This is a case study of a 76 year old female patient who is suffering from congestive cardiac failure. She has past medical history of hypertension‚ chronic renal failure‚ type 2 diabetes mellitus and hyperlipidaemia. She has been admitted in hospital several times recently and she was discharged 11 days ago from emergency department. Now she is suffering from dyspnoea and she feels like she can not catch her breath due to congestion of lungs. Congestion of lungs occurred due to congestive heart

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    • Discuss the questions that would be important to include when interviewing a patient with this issue. Questions that increase the patient risk of developing an ectopic pregnancy should be asked and they include: history of previous tubal surgery‚ previous ectopic pregnancy‚ in utero diethylstilbestrol exposure‚ previous genital infections‚ infertility‚ current smoking‚ and previous intrauterine device use (Lozeau‚ & Potter‚ 2005). Questions about menstrual cycles as well as the pelvic pain should

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    patient summation

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    Overview Patient is a 83 year-old female‚ presented to the ED on 7/2/13 with complaints of chest pain caused by what family believed to be aspiration pneumonia‚ also with worsening stage 4 sacral wound. Patient has a past medical history of a subdural hematoma secondary to a fall from a ladder‚ IDDM‚ bleeding gastric ulcer‚ and aspiration pneumonia. EKG and cardiac enzymes were ordered in the ED‚ EKG was unremarkable with a normal sinus rate and rhythm‚ enzymes within acceptable range. Patient sacral

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    Symptoms)    P­ Decreased Cardiac Output    R/T    E­ Atrial Fibrillation and Mechanical  Ventilation    AEB    S – Client on mechanical ventilation.  Albumin 1.1 – 2/4/14 – low  osmolality in blood – third spacing.  Atrial Fibrilation  Sluggish Pupil response  Blood pressure 97/39   Heart Rate 54  Peripheral pulses diminished                PLANNING  ____________________________________________________________________________________    Client Goal: Client will not have decreased Cardiac Output      Outcome Criteria 

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    Patient Reflection

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    Today‚ one of my patients presented to the ED with a 3cm laceration on his right hand that was three days old. He also reported a pain level of 7/10. First‚ my nurse preceptor and I had the patient wash his hands with soap and water to remove the dirt and bacteria from the wound. Thereafter‚ we sprayed wound cleanser to the wound and rinsed it with normal saline to further aide in removing debris and decreasing bacterial counts. After‚ I dried the wound edges with a sterile gauze. This is done in

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    Physiology: Activity 1: Investigating the Refractory Period of Cardiac Muscle Lab Report Pre-lab Quiz Results You have not completed the Pre-lab Quiz. 07/10/13 page 1 Experiment Results Predict Question: Predict Question 1: When you increase the frequency of the stimulation‚ what do you think will happen to the amplitude (height) of the ventricular systole wave? Your answer : a. The amplitude will increase. Predict Question 2: If you deliver multiple stimuli (20 stimuli per second) to the

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    our quantitative critical appraisal exercise with a brief synopsis of this research study. The author believes powerfully that modest amounts of information are unknown about these ideas and the associations surrounded by children with congenital cardiac disease. On the other hand‚ this information is fundamentally growing potential interferences to maximize effectiveness for long-standing physical condition and reduce the hazards of becoming extremely over weight in this population. Obesity may create

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    Nikul Patel DS13 25-12-03 Effects of exercise on cardiac output (For results see graph paper) Analysis After the initial period of rest in both girls and boys heart rates rose slightly with light exercise (walking)‚ and then fell again slightly back towards the original resting point. Then during the period of anticipation of exercise the males heart rate rose by a further 1 beat per 6 seconds‚ whereas the females took a dramatic leap‚ and rose by 3.5 beats per 6 seconds‚ or 35 beats per minute

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    generated. There are five stages involved during cardiac action potentials‚ during these stages there is a flow of ions through

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