Q waves and ST elevation. Mrs. Sutton’s clinical presentation: The initial 12-lead ECG revealed early Q-Waves and massive ST-segment elevation in leads V1-V4, myoglobin-120, 2. How is a diagnosis of AMI determined? Identify the results for Mrs. Sutton that confirmed the diagnosis of AMI. 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.
After reaching a hospital and are diagnosed the doctor may send you to a cardiologist, one who specializes in diagnosing and treating heart diseases and conditions. There are many ways to test for and diagnose Cardiac Arrest. Some of these procedures are EKG, Echocardiography, MUFA Test, Cardiac Catherization, Blood Test, and Electophysiology Study. EKG, or electocardiogram, is a simple, painless test that detects and records the heart's electrical activity. It can show evidence of heart damage due to CHD, or coronary heart disease, and signs of a current or previous heart attack.
A physical exam may show liver and spleen swelling as well as a pulse over your liver. A murmur or another abnormal sound may be detected when listening to the heart with a stethoscope. Signs of fluid collection in the abdomen may also be present. To show enlargement of the right side of the heart an echocardiogram, CT scan, or MRI of the chest may be used. Blood pressure inside the heart and lungs may also measured using Doppler echocardiography or right-sided cardiac catheterization.
When the ambulance turns up they will immediately put an oxygen mask on the person and then do an ECG on them. The ECG is an electronic device that has 12 leads and gives the pattern of the heart. The staff in the ambulance will assess the symptoms and medical history. If the patient is in pain then pain relief will be given if needed. The ambulance will then make its journey to the hospital and take the patient to A & E or resus depending on the severity.
For diagnosis through medical history the doctor will ask types of symptoms, when they occur, for how long the client has had them and the severity. The doctors physical examination will include listening to the heart for abnormal sounds, listening to the lungs for build up of fluid, checking for swelling in the ankles, feet, legs and abdomen and checking for swelling in the veins of the neck. Testing that may be done include an EKG which is used to measure the rate and regularity of the heartbeat. It may also show any thickening of the walls of the pumping chambers of the heart. A chest x-ray can show if the heart is enlarged, there is fluid in the lungs, or lung disease.
Sonography is used for so many different things: “pain, swelling, infection, hematuria (blood in urine)” (www.radiologyinfo.org) , and looks at many extremities’ throughout the body including “heart and blood vessels, including the abdominal aorta and its major branches, liver, gallbladder, spleen, pancreas, kidneys, bladder, uterus, ovaries, and unborn child (fetus) in pregnant patients, eyes, thyroid and parathyroid glands, scrotum (testicles), brain in infants, hips in infants.” (www.radiologyinfo.org). Some of the diseases that you may see while being a sonographer would be liver disease, hepatitis B, hepatitis C, cirrhosis, kidney disease, renal failure, arterial disease (PAD - peripheral arterial disease), GB disease, cancer that may have spread throughout the different organs, thyroid disease, and deep vein thrombosis or DVT which is when the dopplers are used. The typical patients that you would come across vary from
DVT left lower extremity 2. Thrombophlebitis 3. Cellulitis PLAN Diagnostic Doppler Ultrasonography: Often the test of choice in detecting DVT. With the use of sound waves, showing the velocity of blood flow through the veins and arteries, the diagnosis of DVT can be ascertained. Impedance Plethysmography and Compression ultrasound scanning of the left leg veins also useful in aiding diagnosis of DVT and Thrombophlebitis.
Bypass, Cardiopulmonary: Post-Operative Care (Initial 24 Hours) (Adult Patient) TITLE: Bypass, Cardiopulmonary: Post-Operative Care (Initial 24 Hours) (Adult Patient) PURPOSE: To outline the nursing management of the adult patient who has undergone surgery requiring cardiopulmonary bypass. LEVEL: Interdependent (*requires MD order) SUPPORTIVE DATA: Many patients experiencing cardiac and thoracic surgery require cardiopulmonary bypass (CPB). CPB is used to facilitate tissue oxygenation during surgical a procedure such as coronary artery bypass grafting. CPB can result in dramatic fluid and electrolyte imbalances, and hemorrhage. Immediate postoperative nursing care focuses on recovering the patient from the effects of CPB and anesthesia.
Retrieved from http://www.breastcancer.org/symptoms/types/recur_metast/treat_metast/pain_manage Davis, M., Khoshknabi, D., Yue, G. (2006). Management of fatigue in cancer patients. Current Pain and Headache Reports, 10:4; 260-269. Get Palliative Care. (n. d.).
Therapeutic Hypothermia in Post Cardiac Arrest Patients Anderson,RN, MSN, CCRN, Rhonda. "Ask The Experts." CCN.AACN JOURNALS.org 27.5 (2007): 61-62. Web. The Article talks about what the criteria for inducing hypothermia in patients that are post cardiac arrest.