This is as far as I know about the answers for my assignment. Patient F appears be in the best cardiovascular state among the group. Once a diuresis is established, it may be possible to stop the additional drug. After confirming no history of bleeding disorders or allergies, you administer 324 mg of aspirin to the patient. I agree, if the pt is competent then his wishes should be followed. Hamid wrong for firing Shauna? The incapability of the human heart to regenerate after injury such as a heart attack Myocardial infarction poses a major difficulty in the cardiovascular medicine Laflamme and Murry 2011. After her ventricular rate was controlled and the pseudoaneurysm was addressed, her cardiac rehabilitation activity and exercise program was appropriately resumed.
What factors influence women's involvement in cardiac rehabilitation programs?. Words: 378 - Pages: 2. On the sixth hole, Jake told Leah that he was having unusual pain in his left arm and chest. These findings may be due to the fact that women tend to be older at the time of surgery, have more advanced disease, and significant comorbidities. Women of any nationality can lower their heart disease risk by as much as 82% just by leading a healthy lifestyle.
She has no medical history. It includes an optional 30 question exam and the opportunity to provide feedback on the quality of the course. The patient returned to Texas, and with a Cleveland Clinic hematologist coordinating his chemotherapy, he achieved very good partial remission. The saphenous vein from his right leg was harvested using an endoscopic approach. Nothing that I do makes it better or worse. Words: 1074 - Pages: 5. Research suggests that women experience more days of restricted activity due to continuing cardiac symptomatology, such as recurring chest pain and dyspnea.
Also, if there is no Advance Directives filed, and the patient suddenly loses his capacity to make his own decision e. Because the clinical presentations of the two are extremely similar, if not identical i. Past medical history included hiatal hernia, cholecystectomy, hypothyroidism, arthritis, insomnia, and a long-standing history of ankle edema. The paramedics rushed Jake to the hospital where he was evaluated by a cardiologist. Four small incisions were made in her abdomen, and the cholecystectomy was performed without any complications.
John Conte performed the coronary bypass surgery. I had exactly the same scenario for an assignment on Law and Ethics subject in my nursing school, except the patient's name you may be doing the same course which I have done! A heart attack occurs when the blood supply to a portion of the heart muscle is severely reduced or stopped. However, relief of symptoms appears to precede diuresis and natriuresis. A particular concern reflects the use of potent drugs with the potential for pro-arrhythmic effects in patients who had minimal levels of electrical instability. On the day of discharge, Patient H's family was present for discharge teaching. In analyzing this case study, consider the following questions: What coronary risk factors are present? However, Patients J and D possess three of the most significant cardiovascular risk factors: cigarette smoking, diabetes, and hyperlipidemia. Cardiovascular magnetic resonance offers comprehensive non invasive assessment of cardiac structure, function and tissue characterization for patients with a variety of cardiomyopathies.
Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test survey, and have received your digital copy of your credit certificate. Partial credit is not available. He had experienced chest discomfort with activity previously, but the pain had subsided with rest and he sought no medical help. On assessment you find that he is strictly following the fluid and salt restriction ordered since recent hospital admission but still reports that he has been gaining 1 to 2 pounds every day since discharge. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
The outlook for the transplanted patient is dramatically better than those who await transplantation. The emergency room record also reflected that patient had taken 2 nitroglycerin tablets and 4 baby aspirin without relief. I just had lunch and all of a sudden I began to feel different when all of a sudden I felt my stomach turning and I began to start sweating profusely I had a burning pain in my arm it traveled up and across my chest to the other arm and stopped. The goal of the discharge treatment plan is to minimize symptoms and prevent readmission. The health assessment revealed numerous cardiovascular risk factors.
What special implications exist with regard to dosing cardiac medications in women? Today I want to let you know about what happens to the heart when you have a heart attack. He is encouraged by rapid progress in all areas of diagnosis and treatment. She rated her pain an 8 on a 0 to 10 scale and did not report an appreciable decrease in her pain level after the first nitroglycerin dose. Nursing diagnoses that would apply in this case study include decreased cardiac output, pain, activity intolerance, and knowledge deficit. Case history A 74-year-old female patient was admitted from home with progressive increase in breathlessness, orthopnoea and ankle oedema over the previous 3 weeks. The heart attack rate is four times higher for Asians than whites in the United States. A pansystolic murmur was audible and late inspiratory crackles were heard throughout both lung fields.