a patient history of severe, prolonged chest pain, unequivocal electrocardiogram (ECG) changes that include abnormal and persistent Q waves,changes in serial cardiac biomarker levels that indicate myocardial injury and infarction. 3. What are the treatment goals for a patient with AMI? Management of acute pain includes both pain relief and interventions to reduce the thrombosis and oxygen demands. 4.
This article talks about the effects of cardiac arrest and how therapeutic hypothermia can improve the outcome of these patients. The article talks about the specific phases of hypothermia and what the nurse can anticipate is going to happen. The article talks about the possible adverse effects to be aware of and possible treatment of these. They talk about the role of the nurses in hypothermia
The thought of losing one’s life is a topic that cannot be ignored. From the article’s perspective, end-stage heart failure is a complex disease with a poor prognosis (Chen-Scarabelli et al., 2015). Early identification and intervention such as medications and lifestyle modification can help in prolonging one’s life and possibly improving the quality of life. Therefore, it is important for medical staff to intervene early, once the patient is confirmed to have heart failure. Although it can cause an ethical dilemma in patient care, it is highly regarded that all principles be applied to help patients dignity in end of life
Gerontology Disease Process Paper 09/10/2012 CONGESTIVE HEART FAILURE Etiology Congestive heart failure (CHF) is the hearts inability to pump sufficient oxygen rich blood to the body’s tissues. CHF can be acute or chronic, left sided, right sided or both. There are several causes, diseases such as MI, hypertension, CAD or kidney failure valve disorders, inflammatory conditions, water intoxication and side effects from medications such as corticosteroids. CHF is more common among the elderly community, also is the leading cause of hospitalization and re-hospitalization among the elderly. Over three million individuals have been diagnosed with CHF.
Congestive Heart Failure • Definition • Prevention • Prevention of Readmission • Essential Patient Education • Opinion Definition Congestive Heart Failure, also known as CHF, is a medical condition in which the body’s heart is incapable of pumping and supplying enough blood to the rest of the body. When this condition occurs, adequate blood flow to the body’s vital organs such as the brain, lungs, liver, and kidneys is diminished. Congestive Heart Failure may be due to the right, left, or both ventricles, and is considered a long-term condition. Several causes of CHF include heart valve disease, primary heart muscle weakness, hypertension, and Coronary Artery Disease. CHF is a chronic, long-term condition although at times it can develop quite suddenly.
(10 points) The nurse should: Assess Mr. Walter's pain and obtain a brief history Obtain a 12 lead ECG, Cardiac monitor, IV access Assess vital signs and apply oxygen as needed. 2. List and briefly explain the diagnostic tests that will need to be obtained to determine if acute coronary syndrome is the cause of his symptoms. (10 points) *12 Lead ECG – This will be evaluated by a trained professional for signs of an Acute coronary syndrome or rhythm abnormalities. Especially ST elevation, ST depression, T-wave inversion, and or new bundle branch block.
Initial Priorities At the beginning of his shift, Mr. Young identifies several problems that need attention. 1. Which client situation requires the most immediate intervention by the charge nurse? A) New onset ST segment elevation is observed on the telemetry monitor of a client admitted with angina. CORRECT This electrocardiogram (ECG) finding indicates ischemic changes which require immediate client assessment and management to prevent myocardial damage.
In atrial fibrillation, a problem with the heart's electrical system the atria to quiver, or fibrillate. The quivering upsets the normal rhythm between the atria and the lower parts (ventricles) of the heart. The lower parts may beat fast and without a regular rhythm. Atrial fibrillation is dangerous because it greatly increases the risk of stroke. If the heart doesn't beat strongly, blood can collect, or pool, in the atria.
This in turn only supports CT colonography as a better screening choice for colorectal cancer. The cons listed are bowel preparation for the patient prior to a colonoscopy is considered too harsh and can lead to other health problems, i.e. dehydration, electrolyte imbalance, cardiac irregularity. The evaluation of 49 studies showed positive patient outcomes with the use of CT colonography; however did not go further to mention if any future diagnostic testing was necessary. This is very important information for nurses to pass on to their patients informing them they should always ask more questions.
DEFINITION/ETIOLOGY: The most common cause of heart failure is coronary artery disease (CAD), which is a narrowing of the small blood vessels that supply blood and oxygen to the heart. Hear failure can also occur when an infection weakens the heart muscles, this disorder is called cardiomyopathy. Other heart problems that may cause heart failure include: Congenital heart disease, Heart attack, heart valve disease, and some types of abnormal heart rhythms. Diseases such as emphysema, severe anemia, hyperthyroidism, or hypothyroidism may also cause or contribute to heart failure Systolic heart failure means that your heart muscle cannot pump, or eject the blood out of the heart very well. Diastolic heart failure means that your hearts pumping chamber does not fill up with blood.