Increased respirations and pulse are characteristic of a blood clot embolus of the lung. It is important to know where the embolus is coming from to better treat M.M. Before the latest PTT/INR results are back, the physician orders a heparin bolus of 5000 units IV followed by an infusion of 1200 units/hr. The lab calls with a critical value—the aPTT is 120 seconds. Based on these results, the physician is called and asked to change the heparin order to a slower rate because if the aPTT is between 100-120 seconds, heparin needs to be decreased by 100
Nitroglycerin is a smooth muscle relaxer and vasodilator. This drug provides myocardial oxygen which reduces myocardial wall tension. Reduction in myocardial wall tension corresponds with lower systolic pressure. Beta blockers are antagonistic beta receptor blockers which act on the heart to reduce the amount of work the cardiac muscles have to do. By blocking beta receptors, the heart rate will be slowed and reduces demand for oxygen and contractility.
The extra fluids build up in the legs, lungs, liver and around the eyes. This condition is known as congestive heart failure (CHF). Cardiomyopathy is an acquired or inherited condition of the heart muscles. The heart muscles become thicker or enlarged thus decreasing the ability of the heart to pump enough blood through the body (American Heart Association, 2013). In this paper the writer describes the best approach to care for Mr. P, who is hospitalized with
In fact, the most common cause of heart failure is myocardial infarction. The nurse should also ask Bert if he has hypertension, another primary underlying condition causing heart failure. [pic][pic] [pic]"Do you have varicose veins?" Varicose veins are not associated with an increased risk for heart failure.
Cardiopulmonary resuscitation consists of chest compressions and rescue breathing. It is a lifesaving procedure that is performed on a person when they are found unresponsive and without respirations or a heartbeat. When the body cannot properly circulate blood or oxygen, brain death can occur within minutes. CPR can help to maintain that circulation to vital organs until emergency responders can arrive. CPR is a very simple, yet important skill to learn.
The management consisted neurological for severe head injury, maxillofacial for facial injuries, orthopedics for fractured lower limbs. Mr. M was mechanically ventilated and given sedations and analgesics to facilitate the care. Hinds and Watts (2008) define VAP as a nosocomial infection which arises between 48 hours and 72 hours in patients requiring mechanical ventilation for more than 48 hours. They suggest that this is because of the aspiration of secretions during Intubation and VAP occurring after 72 hours is mostly as the consequence of aspiration of infected secretion from the airway. VAP prolongs intensive care stay and increased risk of other complications associated with it.
Muscles in the bladder normally close during ejaculation, preventing the entry of semen. During retrograde ejaculation, the semen is redirected into the bladder when these muscles fail to activate. If you are concerned that a chronic condition may be impacting your fertility, reach out to a physician to learn more. 10. Myth: Weight does not affect reproductive ability.
In 2010 the American Heart Association pushed for the use of therapeutic hypothermia in their Advanced Cardiac Life Support update. With that being said two things the clinician will attempt to do would be. First, restore the regular rhythm of the heart. Second, decrease the chance for cardiac arrest and stand off any negative side effects from the cardiac
The faster the patient receives treatment, the less damage will occur. The patient’s treatment will depend on whether the stroke is caused by a blood clot (ischemic) or by bleeding in the brain (hemorrhagic). Treatment focuses on restoring blood flow for an ischemic stroke or controlling bleeding for a hemorrhagic stroke. The doctor will use a computed tomography (CT) scan or magnetic resonance imaging (MRI) of the patient’s head to diagnose the type of stroke they have had. I recommendations the patient should have to avoid a stroke are the following: The patient should know their blood pressure and abnormal heartbeat that can increase stroke risk.
He was immediately intubated and ventilated as he was not fully awake. Aramine was administered and Adrenaline and Nor adrenaline infusion was commenced to treat the hypotension. A 12-lead ECG showed an ST elevation in the left inferior region of the heart. A catheter was also placed to monitor the urine output. He was then directed to the cardiac catheterisation laboratory for an emergency coronary angiogram(study of the blood vessels).