This type of hernia, in which the bulge is constricted so that the blood supply to the area is cut off, constitutes a medical emergency that requires immediate surgery. Objectives GENERAL To obtain a broad understanding and learning about Strangulated Hernia through completing the necessary action and data for this case study. SPECIFIC Objectives To increase knowledge about Strangulated Hernia. To learn the probable cause, sign and symptoms of Strangulated Hernia. To improve knowledge about how to do the ideal nursing intervention for clients with Strangulated Hernia.
They have either suffered a myocardial infarction or simply had angina (chest pain) that was evaluated with coronary angiography. CAD was noted during the angiography. Other tests are used to help diagnose CAD, electrocardiogram (ECG), stress test, echocardiogram, and blood tests. Treatment includes medicines, lifestyle changes, change in diet, and medical procedures. Treatments can be considered as preventions as well.
Report changes to the provider. Hyperkalemia can result in EKG changes that include tall peaked T waves, prolonged PR interval, and widened QRS interval” (Ackley & Ladwig, 2011, pg. 343) The nurse monitoring an acute renal failure patient should implement safety precautions such as falls prevention protocol
3-qualtiative platelet disorders. 4- Hypofibrinogenaemia. 4- vWD. Lab 2 Prothrombin time Introduction: The prothrombin time (PT) test is ordered to help diagnose unexplained bleeding, often along with a partial thromboplastin time (PTT) test. The PT test evaluates the extrinsic and common pathways of the coagulation cascade, while the PTT test evaluates
This assignment will analysis the pathophysiology of pain and the related care of severe pain in patients who may be attended by the emergency ambulance services by the use of ketamine as an analgesic agent. This assignment will also explore the pharmacokinetics and pharmacodynamics and the routes of administration and rates of absorption of ketamine. The legal issues associated with drug administration and the protocols utilised by paramedics to deliver drugs in the out of hospital setting will be discussed and how prescription drugs can have adverse effects on patients during exacerbation of illness or injury will also be analysed. One of the most vital points to consider in relation to the control of pain and the administration of analgesia in the pre hospital setting is that, in many cases, it is inadequate (Lord and Parsell: 2003 and Hennes, Kim and Pirrallo 2005). It could be said that any delay in handing a patient over to the Accident and Emergency Department, due to a particular busy period or during a major incident, thus delaying in hospital analgesia administration, amplifies the beneficial impact of adequate pre hospital administration of pain relief.
Abstract The impact of stress on a person’s life is well documented. The effect of stress on cortisol and catecholamine levels leading to atherosclerosis and resulting in coronary artery disease may leave the person with a poorer quality of life. Medical interventions for heart disease include medication to lower cholesterol and vasodilator to assist blood flow to the heart. Treatments for stress are antidepressants and therapeutic techniques. In this case study, the personality of a heart disease candidate is discussed and the nature of the illness and its effects on the person.
Peter’s past medical history showed Ischemic Heart disease, Angina, and Aortic Valve Replacement. Following Acute Coronary Syndrome (ACS) protocol Peter was placed on the cardiac monitors and his vital signs observed half hourly. Observations showed sinus tachycardia 120 beats per minute (BPM), pyrexia (temperature of 39.6) and hypotension (systolic blood pressure 85mmHg) (SIGN 2007). Myocardial infarction (MI) refers to necrosis of myocardial cells caused by cessation or severe reduction in the blood supply (Jowett and Thompson 1995). Following an MI irreversible necrosis of a portion of heart muscle results due to prolonged ischaemia (Lilly 1998).
The predisposing factors for endocarditis include, aging for older people who have aortic stenosis; intravenous drug abuse, presence of prosthetic heart valve, use of intravascular devices which may result in nosocomial like, methicillin resistant staphylococcus aureus (MRSA); and renal dialysis (Lewis et al, 2011, 841-842). Signs and symptoms include fever, chills, weakness, malaise, fatigue and anorexia due to bacterial infection. Joint pain, muscle, pain, back pain, abdominal discomfort, headache, weight loss and clubbing of fingers resulting from heart failure. Black longitudinal streaks in nails bed Petechiae which result from fragments and microorganism embolization of vegetative lesion as evidenced by conjunctiva, lips, buccal mucosa and palate , and ankles, feet and anticubital and popliteal areas. Painful, tender, red or purple, pea-sized lesions may show on fingertips or toes.
In some cases gallstones may be removed to relieve blockage of the pancreatic duct. In the most severe cases, surgery is needed to remove dead or infected pancreatic tissue. Complications from acute pancreatitis include acute kidney failure, ARDS, ascites, Cysts or abscesses in the pancreas, and heart failure. Repeat episodes can lead to chronic pancreatitis. References Bare, B.G., Cheever, K.H., Hinkle, J.L., & Smeltzer, S.C. (2008).
The medical term for High Blood Pressure is Hypertension. In this reading you will learn the types of Blood Pressure, the causes of High Blood Pressure and the cure for High blood Pressure. There are two types of Blood Pressures an individual has. Systolic blood pressure and Diastolic blood pressure. Systolic pressure is the force of blood in the arteries as the heart beats.